MEDICARE: BAYFRONT HMA MEDICAL CENTER LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	208000000X	Pediatrics Physician
2	207Q00000X	Family Medicine Physician
3	207QS0010X	Sports Medicine (Family Medicine) Physician
4	363L00000X	Nurse Practitioner
5	207V00000X	Obstetrics & Gynecology Physician

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	:	1720328297
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAYFRONT HMA MEDICAL CENTER LLC

Provider Business Mailing Address
First Line	:	PO BOX 689022
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37068-9022
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	700 6TH ST S
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33701-4815
Country	:	US
Telephone Number	:	727-893-6116
Fax Number	:	727-893-6978

Authorized Official
Title or Position	:	VP PHYSICIAN BUSINESS SERVICES
Name	:	JAMES PATRICK WRIGHT
Credential	:
Telephone Number	:	615-778-1502

Provider Enumeration Date	:	02/21/2013
Last Update Date	:	05/16/2019

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Directions to “BAYFRONT HMA MEDICAL CENTER LLC ” Practice Location

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