Organization
BAYA BARIATRICS URGENT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE CONE (BILLING MANAGER)
(904) 406-5400
Entity
Organization
Contact information
Practice address
373 SE COUNTRY CLUB RD, LAKE CITY, FL 32025-4987
(386) 755-8909
Mailing address
373 SE COUNTRY CLUB RD, LAKE CITY, FL 32025-4987
(386) 755-8909
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
PA2310
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47520
BC/BS PROVIDER #
FL
Enumeration date
02/06/2009
Last updated
02/06/2009
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