NPI Code Details Logo

NPI 1679410369

NPI 1679410369 : BAY PHARMA OF FLORIDA INC : PANAMA CITY BEACH, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1679410369
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    BAY PHARMA OF FLORIDA INC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/30/2026
-----------------------------------------------------
    Last Update Date     |    04/30/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    7099 W HIGHWAY 98 
-----------------------------------------------------
    City                 |    PANAMA CITY BEACH
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    32407-5415
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    917-794-6909
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2319 S HIGHWAY 77 UNIT 66 
-----------------------------------------------------
    City                 |    LYNN HAVEN
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    32444-7702
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    917-794-6909
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     AHMED  ELZENY 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    917-794-6909
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    333600000X
-----------------------------------------------------
    Taxonomy Name        |    Pharmacy
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.