Bay Central Medical Group

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME 59316 Issued in FL

Legal business name

BAY CENTRAL MEDICAL GROUP

Practice address

4712 N Armenia Ave
Suite 102
Tampa, FL 33603-2611

Phone

(813) 873-1725

Fax

(813) 873-2924

NPI assigned

Apr 14, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Manuel Rolland

Title

Office Manager

Phone

(813) 873-1725

Specialties & licenses 3

Addresses

Other names 1

• Infante Medical Office Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1003080722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4712 N ARMENIA AVE",
            "address_2": "SUITE 102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336032611",
            "telephone_number": "813-873-1725",
            "fax_number": "813-873-2924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4712 N ARMENIA AVE",
            "address_2": "SUITE 102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336032611",
            "telephone_number": "813-873-1725",
            "fax_number": "813-873-2924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY CENTRAL MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "ROLLAND",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "813-873-1725",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 95998",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME 80860",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME 59316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Infante Medical Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bay Area Retina Specialists LLC
• Bay Area Sleep Associates LLC
• Bay Area Sleep Diagnostic Center, LLC
• Bay Area Speech Therapy, Inc.
• Bay Area Youth Services
• Bay Chiropractic & Spine Services LLC
• Bay City Chiropractic Inc
• Bay City Rehab & Wellness Inc.
• Bay Community Pediatrics PA
• Bay Harbor Home Health Care Inc

• Pediatrics Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.