Organization
BAYFRONT MEDICAL CENTER, INC.
Active
Other names
Bayfront Family Practice Medcial Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN A. RICH (DIRECTOR)
(727) 893-6065
Entity
Organization
Contact information
Practice address
700 6TH ST S, ST PETERSBURG, FL 33701-4815
(727) 893-6116
Mailing address
700 6TH ST S, ST PETERSBURG, FL 33701-4815
(727) 893-6116
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
98615
MEDICARE GROUP PROVIDER
—
Enumeration date
02/02/2007
Last updated
07/26/2007
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