Organization
BAYSIDE MEDICAL PRACTICE OF VILANO BEACH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY ROWLAND DYE APN (PRESIDENT)
(305) 916-0183
Entity
Organization
Contact information
Practice address
101 YACHT CLUB DR, ST AUGUSTINE, FL 32084-2196
(904) 217-4550
(904) 907-2113
Mailing address
240 SAN MARCO AVE, SAINT AUGUSTINE, FL 32084-2729
(904) 217-4550
(904) 907-2113
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/27/2023
Last updated
09/01/2025
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