Organization
BASS LAKE INPATIENT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY J BYRNE MD (OWNER & PRESIDENT , INPATIENT SVCS)
(800) 444-7009
Entity
Organization
Contact information
Practice address
1000 MAR WALT DR, FORT WALTON BEACH, FL 32547-6708
(850) 862-0213
(800) 305-3233
Mailing address
PO BOX 37944, PHILADELPHIA, PA 19101-0544
(800) 444-7009
(800) 305-3233
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/28/2013
Last updated
08/28/2013
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