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NPI Code Detail

MEDICARE: BAY MEDICAL CENTER OF TAMPA, P.A.

MEDICARE: BAY MEDICAL CENTER OF TAMPA, P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA 9101885FL
2363A00000XPhysician AssistantPA 9101889FL
3207Q00000XFamily Medicine PhysicianME25828FL

General Provider Information

NPI Number : 1205028198
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAY MEDICAL CENTER OF TAMPA, P.A.
Provider Business Mailing Address
First Line : 7550 N DALE MABRY HWY
Second Line :
City : TAMPA
State : FL
Zip : 33614-3226
Country : US
Telephone Number : 813-885-4706
Fax Number : 813-885-9463
Provider Business Practice Location Address
First Line : 7550 N DALE MABRY HWY
Second Line :
City : TAMPA
State : FL
Zip : 33614-3226
Country : US
Telephone Number : 813-885-4706
Fax Number : 813-885-9463
Authorized Official
Title or Position : PRESIDENT
Name : DR. LAURENCE NEUFELD
Credential : M.D.
Telephone Number : 813-885-4706
Provider Enumeration Date : 08/14/2007
Last Update Date : 08/14/2007

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1083694640 — LAURENCE T NEUFELD M.D.
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1124115126 — DEREK DOUGLAS MAGNUSON PA-C
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1497076178 — GEORGEANNE NEUFELD LMHC
Practice Location Address:
7550 N DALE MABRY HWY
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1043884463 — DR. AUSTIN LOUIS CICCATI DO
Practice Location Address:
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33614-3226
Practice Phone: 813-885-4706
Practice Fax: 813-885-9463

Directions to “BAY MEDICAL CENTER OF TAMPA, P.A. ” Practice Location

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