Baycare Medical Group Pediatric Walk-in, LLC
Organization Active NPI Pediatrics Physician · Tampa, FL
NPI 1679724488 · NPPES record last updated Jan 6, 2017
Key facts
- NPI
- 1679724488
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- BAYCARE MEDICAL GROUP PEDIATRIC WALK-IN, LLC
- Practice address
- 4902 Eisenhower Blvd
Suite 300
Tampa, FL 33634-6310 - Phone
- (813) 636-2044
- Fax
- (813) 321-6998
- NPI assigned
- Oct 10, 2008
- Organization subpart
- Yes
- Parent organization (as reported)
- BAYCARE MEDICAL GROUP, INC
Authorized official
- Name
- Mr. Tommy Inzena
- Title
- President/Ceo
- Phone
- (813) 636-2044
Corporate family (same tax ID) 1
Practitioners 159
-
Maria Sharon Abouhanna, ARNP
-
Shahla Goodarzi Amrooei, ARNP
-
Darryl B Bain, ARNP-C
-
Marcy Solomon Baker, M.D.
-
Butros Bazo, MD
-
Susan L. Berg, FNP
-
David Alan Bernstein, M.D.
-
Mark Antonio Borden, M.D.
-
Harris Boyiadzis, MD
-
Michael Ward Bradner, M.D.
-
Calvin C. Briles, D.O.
-
Fouad M Butto, MD
-
Andrea Marie Byrd, ARNP
-
Richard A Cain, M.D.
-
Eric Lane Khaled Carter, M.D.
-
Adriana M. Casanova, M.D.
-
Jaime F Casellas, MD PA
-
Chelsea Cherie Catalanotto, ARNP-C
-
Maria J Centrowitz, ARNP
-
Brian Keith Chamberlain, PA-C
-
John C Chan, M.D.
National Provider Directory
- Tax ID family
- Baycare Medical Group Pediatric Walk-in Care LLC
- Part of
- Jeffrey Jsourbeer MD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Pediatrics Physician |
208000000X | Yes |
Addresses
Primary practice location
4902 Eisenhower Blvd
Suite 300
Tampa, FL 33634-6310
Mailing address
PO Box 743409
Atlanta, GA 30374-3409
Phone (727) 532-0002
Other providers in Tampa, FL
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- Baycare Occupational Health
- Baycare Outpatient Imaging LLC
- Baycare Outpatient Imaging LLC
- Baycare Urgent Care, LLC
All providers in Tampa, FL · Pediatrics Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.