Individual
CARLOS JUAN BAYRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3253 N MCMULLEN BOOTH RD, 200D, CLEARWATER, FL 33761-2043
(727) 842-9486
(727) 375-1060
Mailing address
2035 LITTLE RD, TRINITY, FL 34655-4421
(727) 842-9486
(727) 849-2623
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME47235
FL
207RI0011X
Interventional Cardiology Physician
Primary
ME47235
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02846
BLUE CROSS BLUE SHIELD
—
05
—
048576400
—
FL
01
—
0552992
AETNA
—
01
—
214755
AVMED
—
01
—
2500088
UNITED HEALTH CARE
—
01
—
3932800005
CIGNA
—
Enumeration date
10/07/2005
Last updated
04/18/2017
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