| Bay Area Internal Medicine And Geriatric Care Pa | |
|
7047 66th St Pinellas Park FL 33781-4002 | |
| (727) 545-8887 | |
| Not Available |
| Full Name | Bay Area Internal Medicine And Geriatric Care Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 7047 66th St, Pinellas Park, Florida |
| Authorized Official Name and Position | Nicole L Clark (OFFICE MANAGER) |
| Authorized Official Contact | 7275458887 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Area Internal Medicine And Geriatric Care Pa 7047 66th St N Pinellas Park FL 33781-4002 Ph: (727) 545-8887 | Bay Area Internal Medicine And Geriatric Care Pa 7047 66th St Pinellas Park FL 33781-4002 Ph: (727) 545-8887 |
| NPI Number | 1043407323 |
|---|---|
| Provider Enumeration Date | 10/01/2007 |
| Last Update Date | 07/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043407323 | NPI | - | NPPES |
| 269324100 | Medicaid | FL | |
| CC1712 | Other | FL | RAILROAD MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0053333 (Florida) | Primary |
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