Organization
BAYPINES VA HEALTHCARE SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELLEN TRACY THATCHER ARNP (ARNP)
39866617032
Entity
Organization
Contact information
Practice address
10000 BAYPINES BLVD, BAYPINES, FL 33744
(727) 398-6661
Mailing address
7028 40TH AVE N, ST PETERSBURG, FL 33709-4612
(727) 368-1332
Taxonomy
Speciality
Code
Description
License number
State
281P00000X
Chronic Disease Hospital
Primary
2793512
FL
Other
Enumeration date
07/19/2006
Last updated
08/22/2020
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