Healthcare Provider Details

I. General information

NPI: 1225334675
Provider Name (Legal Business Name): BAY POINT URGENT CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2011
Last Update Date: 11/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1155 S DALE MABRY HWY UNIT 8
TAMPA FL
33629-5035
US

IV. Provider business mailing address

7777 HENNESSY BLVD SUITE 1004-154
BATON ROUGE LA
70808-4300
US

V. Phone/Fax

Practice location:
  • Phone: 813-281-1155
  • Fax: 813-281-1152
Mailing address:
  • Phone: 225-214-9352
  • Fax: 225-214-9349

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANDREW BOYER
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 225-288-8681