Bayside Healthcare Brandon, INC

NPI #1356532246 in Brandon, Florida

Provider Information

NPI Number: 1356532246
Entity Type: Organization
Organization Name: Bayside Healthcare Brandon, INC
Primary Specialty: Family Medicine
Enumeration Date: Aug 6, 2007
Last Updated: Aug 6, 2007

Practice Location

Address: 615 VONDERBURG DR
City: Brandon
State: Florida
ZIP Code: 33511-5972
Phone: (813) 654-1856

Authorized Official

Name: MR. KEVIN DONOFRIO
Title: PRESIDENT
Phone: (813) 654-1856

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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