Organization
BAYFRONT PHYSICIAN SPECIALITY
Active
Parent organization
BAUFRONT MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAUFRONT MEDICAL CENTER
Authorized official
MARK EDMUNDS (BILLING MANAGER)
(727) 893-6095
Entity
Organization
Contact information
Practice address
700 6TH ST S, ST PETERSBURG, FL 33701-4815
(727) 893-6095
Mailing address
PO BOX 550596, TAMPA, FL 33655-0596
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
05/19/2008
Last updated
05/19/2008
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