Bayside Healthcare Brandon Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

HCC6754 Issued in FL

Legal business name

BAYSIDE HEALTHCARE BRANDON INC

Practice address

615 Vonderburg Dr
Brandon, FL 33511-5972

Phone

(813) 654-1856

Fax

(813) 681-7268

NPI assigned

Dec 7, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Kevin Donofrio

Title

President

Phone

(813) 654-6568

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1336322833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 VONDERBURG DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115972",
            "telephone_number": "813-654-1856",
            "fax_number": "813-681-7268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 VONDERBURG DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115972",
            "telephone_number": "813-654-1856",
            "fax_number": "813-681-7268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE HEALTHCARE BRANDON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "DONOFRIO",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-654-6568",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC6754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "HCC6754",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bay Area Solutions for Independence
• Bay Area Speech-Language and Cognitive Therapy LLC (Bay Area Speech Therapy)
• Bay Area Surgicenter, LLC (Brandon Surgery Center)
• Bay Dermatology Associates Jerry L Hedrick MD PA
• Bayada Home Health Care, Inc.
• Bayside Healthcare Brandon, Inc (Suncoast Total Healthcare)
• BDL National Inc
• Bea Hilbrands LMHC, LLC (Refresh Wellness Counseling)
• Rebecca Beach, RBT
• Sherri Beach, M.S.

• Clinic/Center in Brandon, FL
• Providers in Brandon, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; 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.