Organization
BAYFRONT MEDICAL CENTER, INC.
Active
Other names
Bayfront Pathology Lab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT THORNTON (SENIOR VP FINANCE & CFO)
(727) 893-3250
Entity
Organization
Contact information
Practice address
701 6TH ST S, ST PETERSBURG, FL 33701-4814
(727) 893-1234
(727) 893-6961
Mailing address
701 6TH ST S, ST PETERSBURG, FL 33701-4814
(727) 893-1234
(727) 893-6961
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
4303
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010156700
—
FL
05
—
010156701
—
FL
Enumeration date
07/20/2012
Last updated
07/20/2012
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