MEDICARE: BAYONET POINT SURGERY CENTER LTD

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	261QA1903X	Ambulatory Surgical Clinic/Center	1210	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316900830
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAYONET POINT SURGERY CENTER LTD

Provider Business Mailing Address
First Line	:	14104 YOSEMITE DR
Second Line	:
City	:	HUDSON
State	:	FL
Zip	:	34667-6554
Country	:	US
Telephone Number	:	727-869-5040
Fax Number	:	727-869-5041

Provider Business Practice Location Address
First Line	:	14104 YOSEMITE DR
Second Line	:
City	:	HUDSON
State	:	FL
Zip	:	34667-6554
Country	:	US
Telephone Number	:	727-869-5040
Fax Number	:	727-869-5041

Authorized Official
Title or Position	:	VP/CFO
Name	:	DAVID MCKNIGHT
Credential	:
Telephone Number	:	72-789-2816

Provider Enumeration Date	:	04/07/2006
Last Update Date	:	06/10/2026

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