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NPI Code Detail

MEDICARE: BAYA URGENT CARE LLC

MEDICARE: BAYA URGENT CARE 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
1261QU0200XUrgent Care Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447688619
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAYA URGENT CARE LLC
Provider Business Mailing Address
First Line : 1465 W US HIGHWAY 90
Second Line : SUITE 100
City : LAKE CITY
State : FL
Zip : 32055-6123
Country : US
Telephone Number : 386-755-2268
Fax Number :
Provider Business Practice Location Address
First Line : 1465 W US HIGHWAY 90
Second Line : SUITE 100
City : LAKE CITY
State : FL
Zip : 32055-6123
Country : US
Telephone Number : 386-755-2268
Fax Number :
Authorized Official
Title or Position : MANAGING MEMBER
Name : JOAN ALLISON
Credential :
Telephone Number : 386-719-9952
Provider Enumeration Date : 10/24/2013
Last Update Date : 01/20/2014

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Directions to “BAYA URGENT CARE LLC ” Practice Location

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