| NPI | 1508144957 |
|---|---|
| Other Name | BAYSIDE INTERNAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | TOMMIE BETANCOURT President 727-798-8298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS11010) |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2011-08-02 |