| NPI | 1043429053 |
|---|---|
| Doing Business As | BAYSIDE CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARTA M FIALLO Operations Executive 786-441-5660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME85120) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2013-08-28 |