Organization
ALL BAY FAMILY & SENIOR CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSHAMA VAZRALA M.D. (CEO)
(727) 345-5700
Entity
Organization
Contact information
Practice address
1609 PASADENA AVE S STE 3A, SOUTH PASADENA, FL 33707-4561
(727) 345-5700
Mailing address
1609 PASADENA AVE S STE 3A, SOUTH PASADENA, FL 33707-4561
(727) 345-5700
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
ME88785
FL
Other
Enumeration date
08/13/2007
Last updated
08/13/2007
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