BAYSIDE FAMILY HEALTHCARE CLINIC (NPI# 1043429053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043429053 |
| Entity Type | Organization |
| Organization Name | BAYSIDE FAMILY HEALTHCARE CLINIC |
| Other Organization Name | BAYSIDE CLINIC |
| Practice Address |
8488 W. Hillsborough Avenue Tampa FL 33615 |
| Mailing Address |
Po Box 144640 Coral Gables FL 33114-4640 |
| Practice Telephone | 8138899800 |
| Practice Fax Number | 8138899566 |
| Mailing Telephone | 7864415660 |
| Mailing Fax Number | 7864415660 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2013-08-28 |
| Authorized Official Name | MRS. MARTA M FIALLO (OPERATIONS EXECUTIVE) |
| Authorized Official Telephone | 7864415660 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
ME85120 | FL | Ambulatory Health Care Facilities |
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 274541100 | 05 |
| Other Name | Type Code |
|---|---|
| BAYSIDE CLINIC | Doing Business As Name - Organization |
| Street Address |
8488 W. HILLSBOROUGH AVENUE |
| City | TAMPA |
| State | FL |
| Zip Code | 33615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962789685 | Florida Care Centers, Inc. | Clinic/Center | 8488 W. Hillsborough Avenue, Tampa, FL 33615 | 2011-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083125132 | The Ida House Assisted Living LLC | Assisted Living Facility | 6014 Rosewood Dr, Tampa, FL 33615 | 2017-10-17 |
| 1235671785 | Magnet Home Health Care Services, LLC | Home Health | 5700 Memorial Highway Suite G X H 102, Tampa, FL 33615 | 2016-11-15 |
| 1891247532 | Martin Esuzor | Nurse Practitioner | 7918 Hillsborough Avenue, Tampa, FL 33615 | 2016-10-28 |
| 1902263007 | Marie E. Simeon | Nursing Facility/Intermediate Care Facility | 8206 Pennywell Place, Tampa, FL 33615 | 2016-01-20 |
| 1598183659 | Mustafa Mohammad | Dermatology | 6001 Memorial Highway, Tampa, FL 33615 | 2014-04-04 |
| 1710327101 | Kelly A Alvarez | Case Manager/Care Coordinator | 7007 Cobblewood Ct, Tampa, FL 33615 | 2013-06-28 |
| 1336497080 | Serenity Home of Tampa Alf LLC | Assisted Living Facility | 6013 Cresthill Drive, Tampa, FL 33615 | 2012-08-28 |
| 1063777563 | Jaime Alexander Pacheco | Chiropractor | 6301 Memorial Hwy Suit 304, Tampa, FL 33615 | 2012-07-10 |
| 1558656678 | Scripts Direct, LLC | Pharmacy | 8313 W. Hillsborough Ave., # 260, Tampa, FL 33615 | 2011-06-16 |
| 1508178245 | The Spring of Tampa Bay | Counselor | 2810 N. 35 St, Tampa, FL 33615 | 2010-07-10 |
| Find all providers in zip 33615 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720690704 | Celena Vinent Carbonell M.d., P.a. | Clinic/Center | 1001 N Macdill Ave Ste D, Tampa, FL 33607-5152 | 2020-08-20 |
| 1912528290 | Advanced Mobile Medical Services | Clinic/Center | 2136 W. Mlk Blvd, Tampa, FL 33607 | 2020-04-28 |
| 1356976401 | Healthworks Med Group of Florida P A | Clinic/Center | 8705 Henderson Rd, Tampa, FL 33634-1143 | 2020-03-10 |
| 1720639453 | Careatc | Clinic/Center | 4107 N Himes Ave Ste 101, Tampa, FL 33607-6645 | 2019-09-24 |
| 1023572591 | Cheryl A Reed Md LLC | Clinic/Center | 6101 Webb Rd Ste 207, Tampa, FL 33615-2865 | 2019-01-29 |
| 1629579339 | Ohc Primary LLC | Clinic/Center | 912 Channelside Dr Ste 2103, Tampa, FL 33602-4227 | 2018-02-27 |
| 1649778663 | Florida Advanced Acupuncture | Clinic/Center | 14003 N Dale Mabry Hwy, Tampa, FL 33618-2459 | 2018-01-24 |
| 1174895411 | Inspire Medical Clinic LLC | Clinic/Center | 9804 North 56th St., Tampa, FL 33617 | 2012-02-02 |
| 1891064275 | Ar Enterprises of Hillsborough County | Clinic/Center | 6323 Memorial Hwy # D-1, Tampa, FL 33615-4509 | 2011-12-14 |
| 1568782134 | West Tampa Medical Clinic | Clinic/Center | 2309 W Martin Luther King Jr Blvd, Suite 5, Tampa, FL 33607 | 2010-06-07 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.