Healthcare Provider Details

I. General information

NPI: 1609040971
Provider Name (Legal Business Name): BAYCARE HEALTH SYSTEMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2008
Last Update Date: 04/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 N. ALEXANDER ST.
PLANT CITY FL
33563
US

IV. Provider business mailing address

301 N ALEXANDER ST
PLANT CITY FL
33563-4303
US

V. Phone/Fax

Practice location:
  • Phone: 813-757-1200
  • Fax:
Mailing address:
  • Phone: 813-757-1200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: MRS. DANITA BASHUM
Title or Position: ER MANAGER
Credential: R.N.
Phone: 813-757-8517