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 |