Organization · NPI-2

Bay Area Internal Medicine And Geriatric Care PA

Internal Medicine · Pinellas Park, FL

NPI number1043407323
StatusActive
Last updated in NPPESJul 28, 2010

Details

NPI
1043407323
Entity type
Organization (NPI-2)
Legal business name
Bay Area Internal Medicine And Geriatric Care PA
Organization subpart
No
Enumeration date
Oct 1, 2007
Last updated
Jul 28, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineME0053333FLYes

Practice location

7047 66th St
Pinellas Park, FL 33781-4002

Phone 727-545-8887

Mailing address

7047 66th St N
Pinellas Park, FL 33781-4002

Phone 727-545-8887

Authorized official

Nicole L Clark
Office Manager
7275458887

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