Bayside Injury Center LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

BAYSIDE INJURY CENTER LLC

Practice address

2901 W Busch Blvd
Suite 1018
Tampa, FL 33618-4523

Phone

(813) 374-0128

Fax

(813) 374-0181

NPI assigned

Dec 23, 2009

Last updated

Dec 23, 2009By 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

Mr. Stephen Diamantides, DC

Title

Owner

Phone

(813) 374-0128

Specialties & licenses 1

Addresses

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.

• Mydolly Escalona, LMT

  • Massage Therapist
  • Tampa, FL
  • NPI 1376872226
  NPD (past)

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

{
    "created_epoch": "1261526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261526400000",
    "number": "1366771214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 W BUSCH BLVD",
            "address_2": "SUITE 1018",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336184523",
            "telephone_number": "813-374-0128",
            "fax_number": "813-374-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 W BUSCH BLVD",
            "address_2": "SUITE 1018",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336184523",
            "telephone_number": "813-374-0128",
            "fax_number": "813-374-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE INJURY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-23",
        "last_updated": "2009-12-23",
        "status": "A",
        "authorized_official_last_name": "DIAMANTIDES",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-374-0128",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bayshore Podiatry Center Inc (Bayshore Podiatry Center)
• Bayside Breeze Therapy LLC
• Bayside Family Eyecare
• Bayside Family Healthcare Clinic (Bayside Clinic)
• Bayside Infusion Services, LLC (Vital Care of Tampa)
• Bayside Medical Group
• Bayside Medical Group of Florida
• Bayside Medical Solutions LLC
• Bayside Pediatrics Inc
• Bayside Pediatrics, Inc

• Health Service Clinic/Center in Tampa, FL
• Providers in Tampa, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; 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.