| NPI | 1508029349 |
|---|---|
| Doing Business As | BAYSIDE MEDICAL |
| Entity Type | Organization |
| Authorized Contact | CHARLES R. HABELOW Owner/Physician 863-494-2293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME49217) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2010-10-22 |