Organization
BAYFRONT PHYSICIAN SPECIALTY SERVICE
Active
Parent organization
BAYFRONT MEDICAL CENTER, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAYFRONT MEDICAL CENTER, INC.
Authorized official
STEVEN A RICH (EXECUTIVE DIRECTOR)
(727) 893-6223
Entity
Organization
Contact information
Practice address
603 SEVENTH ST S, SUTIE 450, ST. PETERSBURG, FL 33701-4891
(727) 893-6283
(727) 893-6914
Mailing address
701 SIXTH ST. S., ST. PETERSBURG, FL 33701-4891
(727) 893-6283
(727) 893-6914
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00181560
—
FL
Enumeration date
01/22/2008
Last updated
10/31/2011
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