Organization
BAYFRONT ANESTHESTIA SERVICES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VAL PATEL (CONTRACT MANAGER)
(727) 823-2188
Entity
Organization
Contact information
Practice address
701 6TH ST S, SAINT PETERSBURG, FL 33701-4814
(727) 823-2188
(727) 828-0723
Mailing address
PO BOX 22005, SAINT PETERSBURG, FL 33742-2005
(727) 823-2188
(727) 828-0723
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
053955400
—
FL
01
—
77329
BCBS
FL
01
—
CF4811
RAILROAD MEDICARE
—
Enumeration date
06/05/2006
Last updated
11/05/2013
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