MEDICARE: BAY ORTHOPEDICS

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
1	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1215119920
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAY ORTHOPEDICS

Provider Business Mailing Address
First Line	:	11111 PANAMA CITY BEACH PKWY
Second Line	:	SUITE 134
City	:	PANAMA CITY BEACH
State	:	FL
Zip	:	32407-2448
Country	:	US
Telephone Number	:	850-914-7050
Fax Number	:	850-914-7055

Provider Business Practice Location Address
First Line	:	11111 PANAMA CITY BEACH PKWY
Second Line	:	SUITE 302
City	:	PANAMA CITY BEACH
State	:	FL
Zip	:	32407-2448
Country	:	US
Telephone Number	:	850-914-7050
Fax Number	:	850-914-7055

Authorized Official
Title or Position	:	CFO
Name	:	MR. DANIEL MORGAN
Credential	:
Telephone Number	:	850-747-6830

Provider Enumeration Date	:	12/04/2007
Last Update Date	:	12/07/2007

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Directions to “BAY ORTHOPEDICS ” Practice Location

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