Organization
BAYCARE HEALTH SYSTEM
Active
Other names
St. Anthony's Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA MALCOLM CUDAR (LICENSED PHYSICAL THERAPIST ASSIST.)
(727) 825-1231
Entity
Organization
Contact information
Practice address
1200 7TH AVE N, ST PETERSBURG, FL 33705-1300
(727) 825-1231
Mailing address
4802 51ST ST W, #1303, BRADENTON, FL 34210-5101
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
PTA 287
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225200000X
PTA LICENSE # 287
FL
Enumeration date
10/18/2012
Last updated
10/18/2012
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