Organization
BAYSIDE INJURY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN DIAMANTIDES DC (OWNER)
(813) 374-0128
Entity
Organization
Contact information
Practice address
2901 W BUSCH BLVD, SUITE 1018, TAMPA, FL 33618-4523
(813) 374-0128
(813) 374-0181
Mailing address
2901 W BUSCH BLVD, SUITE 1018, TAMPA, FL 33618-4523
(813) 374-0128
(813) 374-0181
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
12/23/2009
Last updated
12/23/2009
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