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NPI Code Detail

MEDICARE: CARLOS A BAYONA ARNP

MEDICARE: CARLOS A BAYONA ARNP
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
1363L00000XNurse PractitionerARNP9244308FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457587420
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLOS A BAYONA ARNP
Provider Business Mailing Address
First Line : 6101 BLUE LAGOON DR STE 200
Second Line :
City : MIAMI
State : FL
Zip : 33126-3168
Country : US
Telephone Number : 844-630-0700
Fax Number : 877-374-1924
Provider Business Practice Location Address
First Line : 360 DOUGLAS AVE
Second Line :
City : ALTAMONTE SPRINGS
State : FL
Zip : 32714-3335
Country : US
Telephone Number : 407-788-8200
Fax Number : 407-788-3746
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2009
Last Update Date : 02/23/2026

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