Healthcare Provider Details

I. General information

NPI: 1881681203
Provider Name (Legal Business Name): BAYWIND MEDICAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2005
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 JOHN SIMS PKWY E
NICEVILLE FL
32578-2028
US

IV. Provider business mailing address

540 JOHN SIMS PKWY E
NICEVILLE FL
32578-2028
US

V. Phone/Fax

Practice location:
  • Phone: 850-729-2559
  • Fax: 850-729-1350
Mailing address:
  • Phone: 850-729-2559
  • Fax: 850-729-1350

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number1604
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number3202779
License Number StateFL

VIII. Authorized Official

Name: KIMBERLEA A WONSICK
Title or Position: VICE PRESIDENT
Credential:
Phone: 850-729-2559