Organization
BAYSIDE MEDICAL GROUP OF FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LEON (GENERAL MANAGER)
(813) 374-2444
Entity
Organization
Contact information
Practice address
7918 W HILLSBOROUGH AVE, TAMPA, FL 33615-4608
(813) 374-2444
(813) 644-7040
Mailing address
7918 W HILLSBOROUGH AVENUE, TAMPA, FL 33615-4608
(813) 374-2444
(813) 644-7040
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
01/14/2022
Last updated
11/03/2022
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