| Bayfront Health Medical Group | |
|
17222 Hospital Blvd Ste 116 Brooksville FL 34601-8925 | |
| (352) 754-3565 | |
| (352) 606-2711 |
| Full Name | Bayfront Health Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 17222 Hospital Blvd Ste 116, Brooksville, Florida |
| Authorized Official Name and Position | Jennifer L Jackson (SR DIR PROV ENROLLMENT & ONBOARDING) |
| Authorized Official Contact | 6154653334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayfront Health Medical Group Po Box 689022 Franklin TN 37068-9022 Ph: (615) 465-7211 | Bayfront Health Medical Group 17222 Hospital Blvd Ste 116 Brooksville FL 34601-8925 Ph: (352) 754-3565 |
| NPI Number | 1124794615 |
|---|---|
| Provider Enumeration Date | 08/17/2021 |
| Last Update Date | 03/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124794615 | NPI | - | NPPES |
| PENDING | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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