| NPI | 1184125965 |
|---|---|
| Doing Business As | BAYSIDE MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | ROBERT LEON General Manager 813-374-2444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2018-03-17 |