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1760791859
BAYSIDE FAMILY HEALTHCARE CLEARWATER, LLC
CLEARWATER, FL
NPI
1760791859
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Entity Type
Organization
Authorized Contact
PATRICK E HICKEY
Mgrm
727-504-7073
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME85120)
Enumeration Date
2010-10-06
Last Update Date
2010-10-06
Business Address
BAYSIDE FAMILY HEALTHCARE CLEARWATER, LLC
107 N MCMULLEN BOOTH RD
CLEARWATER, FL 33759-4450
Phone number: 727-504-7073
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Mailing Address
BAYSIDE FAMILY HEALTHCARE CLEARWATER, LLC
107 N MCMULLEN BOOTH RD
CLEARWATER, FL 33759-4450
Phone number: 727-504-7073
Copy
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