BAYSIDE MEDICAL PRACTICE OF VILANO BEACH LLC

ST AUGUSTINE, FL
NPI1760168330
Entity TypeOrganization
Authorized ContactTAMMY ROWLAND DYE
President
305-916-0183
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2023-06-27
Last Update Date2024-02-05
Business Address
BAYSIDE MEDICAL PRACTICE OF VILANO BEACH LLC
101 YACHT CLUB DR
ST AUGUSTINE, FL 32084-2196
Phone number: 904-217-4550
Mailing Address
BAYSIDE MEDICAL PRACTICE OF VILANO BEACH LLC
101 YACHT CLUB DR
SAINT AUGUSTINE, FL 32084-2196
Phone number: 904-217-4550
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