Bayside Healthcare Brandon Inc

LBN: Bayside Healthcare Brandon Inc
Bayside Healthcare Brandon Inc is an health care organization with primary practice located at 615 Vonderburg Dr , Brandon FL 33511-5972. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Bayside Healthcare Brandon Inc can be contacted via phone (813) 654-1856, or through Donofrio, Kevin via phone (813) 654-6568.

Contact Information

Primary practice address
615 Vonderburg Dr Brandon FL 33511-5972
Phone: (813) 654-1856
Fax: (813) 681-7268
Website:
Map and Directions
Authorized official contact:
Name: Donofrio, Kevin
Phone: (813) 654-6568

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X HCC6754 Florida

Profile Details

NPI number 1336322833
LBN Legal business name Bayside Healthcare Brandon Inc
DBA Doing business as
Authorized official Donofrio, Kevin
Entity Organization
Organization subpart 1 No
Enumeration date Dec 7th, 2007
Last updated Dec 7th, 2007 - about 17 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 1336322833 NPPES
Florida Other HCC6754 STATE LICENSE

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