Bay Area Mobile Clinic LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BAY AREA MOBILE CLINIC LLC

Practice address

15000 Citrus Country Dr # 414
Dade City, FL 33523-6014

Phone

(813) 924-8911

NPI assigned

Jan 24, 2018

Last updated

Mar 30, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Junise BelizaireNPI 1518306810

Title

Owner

Phone

(813) 924-8911

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Junise Belizaire, NP-C

  • Family Nurse Practitioner
  • Dade City, FL
  • NPI 1518306810
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617062400000",
    "number": "1235637398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15000 CITRUS COUNTRY DR # 414",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335236014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15000 CITRUS COUNTRY DR # 414",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335236014",
            "telephone_number": "813-924-8911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7715 Bulls Head Dr",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "335457049",
            "country_code": "US",
            "telephone_number": "813-924-8911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BAY AREA MOBILE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-24",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A",
        "authorized_official_last_name": "BELIZAIRE",
        "authorized_official_first_name": "JUNISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-924-8911"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Froilan Barinas, DDS
• James Bryan Bartlett, L.M.H.C.
• Christopher Bates
• Andrea Batha, RD, LD
• Sheryl Ronna Baum, RN
• Bay Area Neurology Consultants PL
• Baycare Behavioral Health
• Baycare Behavioral Health Inc (Doris Cook - Case Mgmt)
• Baycare Behavioral Health Inc.
• Baycare Behavioral Health Inc. (Doris Cook)

• Clinic/Center in Dade City, FL
• Providers in Dade City, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.