Organization
BAY AREA NEPHROLOGY, PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD THOMAS NEEDHAM JR. D.O. (OWNER)
(727) 441-0104
Entity
Organization
Contact information
Practice address
1305 S FORT HARRISON AVE, BUILDING H, CLEARWATER, FL 33756-3301
(727) 441-0104
(727) 441-8272
Mailing address
1305 S FORT HARRISON AVE, BUILDING H, CLEARWATER, FL 33756-3301
(727) 441-0104
(727) 441-8272
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
OS7262
FL
Other
Enumeration date
11/27/2007
Last updated
01/25/2008
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