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NPI 1881681203

NPI 1881681203 : BAYWIND MEDICAL, INC : NICEVILLE, FL

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General NPI Number Information
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    NPI Number           |    1881681203
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    Entity Type          |    Organization 
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    Legal Business Name  |    BAYWIND MEDICAL, INC 
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Dates
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    Enumeration Date     |    09/30/2005
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    Last Update Date     |    11/26/2025
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Provider Practice Location Address
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    Address Line         |    540 JOHN SIMS PKWY E 
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    City                 |    NICEVILLE
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    State                |    FL
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    Zip                  |    32578-2028
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    Country              |    US
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    Telephone            |    850-729-2559
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    Fax                  |    850-729-1350
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Provider Business Mailing Address
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    Address Line         |    540 JOHN SIMS PKWY E 
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    City                 |    NICEVILLE
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    State                |    FL
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    Zip                  |    32578-2028
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    Country              |    US
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    Telephone            |    850-729-2559
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    Fax                  |    850-729-1350
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Authorized Official
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    Title or Position    |    VICE PRESIDENT
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    Name                 |     KIMBERLEA A WONSICK 
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    Credential           |    
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    Telephone            |    850-729-2559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    1604
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    335E00000X
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    Taxonomy Name        |    Prosthetic/Orthotic Supplier
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    332BX2000X
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    Taxonomy Name        |    Oxygen Equipment & Supplies (DME)
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    License Number       |    3202779
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    License Number State |    FL
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