Bayside Family Healthcare Clinic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

BAYSIDE FAMILY HEALTHCARE CLINIC

Doing business as

Bayside Clinic

Practice address

8488 W. Hillsborough Avenue
Tampa, FL 33615

Phone

(813) 889-9800

Fax

(813) 889-9566

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Marta M Fiallo

Title

Operations Executive

Phone

(786) 441-5660

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• BAYSIDE CLINIC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patrick E Hickey, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Roanoke, VA
  • NPI 1699746099
  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377648000000",
    "number": "1043429053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 144640",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331144640",
            "telephone_number": "786-441-5660",
            "fax_number": "786-441-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8488 W. HILLSBOROUGH AVENUE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33615",
            "telephone_number": "813-889-9800",
            "fax_number": "813-889-9566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE FAMILY HEALTHCARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2013-08-28",
        "status": "A",
        "authorized_official_last_name": "FIALLO",
        "authorized_official_first_name": "MARTA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPERATIONS EXECUTIVE",
        "authorized_official_telephone_number": "786-441-5660",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME85120",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274541100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BAYSIDE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bayshore Pediatric Dentistry and Orthodontics PLLC
• Bayshore Podiatry Center
• Bayshore Podiatry Center Inc (Bayshore Podiatry Center)
• Bayside Breeze Therapy LLC
• Bayside Family Eyecare
• Bayside Infusion Services, LLC (Vital Care of Tampa)
• Bayside Injury Center LLC
• Bayside Medical Group
• Bayside Medical Group of Florida
• Bayside Medical Solutions LLC

• Primary Care Clinic/Center in Tampa, FL
• Providers in Tampa, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.