Organization
ALL BAY MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD L FORTUNE SR. (PRESIDENT)
(813) 963-2438
Entity
Organization
Contact information
Practice address
4433 GUNN HWY, TAMPA, FL 33618-8731
(813) 963-2438
(813) 963-2564
Mailing address
4433 GUNN HWY, TAMPA, FL 33618-8731
(813) 963-2438
(813) 963-2564
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1312512
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R9646
BLUE CROSS/BLUE SHIELD
FL
Enumeration date
03/23/2006
Last updated
08/22/2020
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