Bay Side Medical Center LLC

NPI #1114236940 in St Petersburg, Florida

Provider Information

NPI Number
1114236940
Entity Type
Organization
Organization Name
Bay Side Medical Center LLC
Primary Specialty
Family Medicine
Enumeration Date
Sep 28, 2010
Last Updated
Sep 28, 2010

Practice Location

Address
9545 BAY PINES BLVD
State
Florida
ZIP Code
33708-3754
Phone
(727) 393-8715

Authorized Official

Name
DR. LEO BERNARD DALTON, D.O.
Title
OWNER
Phone
(727) 393-8715

Specialties & Taxonomy Codes

Specialty
Family Medicine

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