MEDICARE: BAYSIDE MEDICAL SOLUTIONS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1104642529
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAYSIDE MEDICAL SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	1112 CHANNELSIDE DR
Second Line	:	CU3 UNIT 3
City	:	TAMPA
State	:	FL
Zip	:	33602-3607
Country	:	US
Telephone Number	:	813-528-4147
Fax Number	:

Provider Business Practice Location Address
First Line	:	1112 CHANNELSIDE DR UNIT 6
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33602-3607
Country	:	US
Telephone Number	:	813-528-4147
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MOHAMED ELZEINI
Credential	:
Telephone Number	:	813-528-4147

Provider Enumeration Date	:	12/02/2024
Last Update Date	:	07/22/2025

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