Healthcare Provider Details

I. General information

NPI: 1679410369
Provider Name (Legal Business Name): BAY PHARMA OF FLORIDA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7099 W HIGHWAY 98
PANAMA CITY BEACH FL
32407-5415
US

IV. Provider business mailing address

2319 S HIGHWAY 77 UNIT 66
LYNN HAVEN FL
32444-7702
US

V. Phone/Fax

Practice location:
  • Phone: 917-794-6909
  • Fax:
Mailing address:
  • Phone: 917-794-6909
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: AHMED ELZENY
Title or Position: OWNER
Credential:
Phone: 917-794-6909