Organization
BAYDOCK EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY MEADOWS (VICE PRESIDENT)
(800) 507-8874
Entity
Organization
Contact information
Practice address
6600 MADISON ST, NEW PORT RICHEY, FL 34652-1971
(727) 841-4611
(727) 843-4501
Mailing address
PO BOX 13953, PHILADELPHIA, PA 19101-3953
(800) 507-8874
(727) 507-3630
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21354
BLUE SHIELD
FL
Enumeration date
05/09/2006
Last updated
04/20/2008
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