Bayside Clinic

LBN: Bayside Family Healthcare Clinic
Bayside Clinic is an health care organization with primary practice located at 8488 W. Hillsborough Avenue , Tampa FL 33615. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Bayside Family Healthcare Clinic can be contacted via phone (813) 889-9800, or through Fiallo, Marta M via phone (786) 441-5660.

Contact Information

Primary practice address
8488 W. Hillsborough Avenue Tampa FL 33615
Fax: (813) 889-9566
Website:
Authorized official contact:
Name: Fiallo, Marta M

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X ME85120 Florida
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1043429053
LBN Legal business name Bayside Family Healthcare Clinic
DBA Doing business as Bayside Clinic
Authorized official Fiallo, Marta M
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2007
Last updated Aug 28th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043429053 NPPES
Florida MEDICAID 274541100

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