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1336322833
BAYSIDE HEALTHCARE BRANDON INC
BRANDON, FL
NPI
1336322833
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Entity Type
Organization
Authorized Contact
KEVIN DONOFRIO
President
813-654-6568
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: FL HCC6754)
Enumeration Date
2007-12-07
Last Update Date
2007-12-07
Business Address
BAYSIDE HEALTHCARE BRANDON INC
615 VONDERBURG DR
BRANDON, FL 33511-5972
Phone number: 813-654-1856
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Mailing Address
BAYSIDE HEALTHCARE BRANDON INC
615 VONDERBURG DR
BRANDON, FL 33511-5972
Phone number: 813-654-1856
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