Organization
BAYTREE MEDICAL ASSOCIATES LLC
Active
Other names
Baytree Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
SANDI LAROCHE (MSO CREDENTIALING COORDINATOR)
(321) 449-4168
Entity
Organization
Contact information
Practice address
7970 N WICKHAM RD, SUITE 101, MELBOURNE, FL 32940-8299
(321) 637-4720
(321) 637-4725
Mailing address
150 N SYKES CREEK PKWY, SUITE 300, MERRITT ISLAND, FL 32953-3488
(321) 449-4168
(321) 449-4164
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/28/2010
Last updated
06/09/2010
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