Bayside Urgent Care Center Inc.
NPI #1619257755 in Clearwater, Florida
Provider Information
- NPI Number
- 1619257755
- Entity Type
- Organization
- Organization Name
- Bayside Urgent Care Center Inc.
- Primary Specialty
- Clinic/Center - Urgent Care
- Enumeration Date
- Aug 21, 2011
- Last Updated
- Aug 21, 2011
Practice Location
- Address
- 1001 S FORT HARRISON AVE
- Address 2
- SUITE 101
- City
- Clearwater
- State
- Florida
- ZIP Code
- 33756-3905
- Phone
- (813) 508-2225
Authorized Official
- Name
- DR. RICHARD PETERKIN WALLACE, MD
- Title
- PRESIDENT/CEO
- Phone
- (813) 508-2225
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Urgent Care — Urgent Care |
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