Basic Information
| Provider Information | |||||||||
| NPI: | 1568833531 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | BAYFRONT MEDICAL CENTER | ||||||||
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| Mailing Information | |||||||||
| Address1: | 601 7TH ST S | ||||||||
| Address2: | SUITE 530 | ||||||||
| City: | SAINT PETERSBURG | ||||||||
| State: | FL | ||||||||
| PostalCode: | 337014704 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7275537008 | ||||||||
| FaxNumber: | 7275537451 | ||||||||
| Practice Location | |||||||||
| Address1: | 601 7TH ST S | ||||||||
| Address2: | SUITE 530 | ||||||||
| City: | SAINT PETERSBURG | ||||||||
| State: | FL | ||||||||
| PostalCode: | 337014704 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7275537008 | ||||||||
| FaxNumber: | 7275537451 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/15/2015 | ||||||||
| LastUpdateDate: | 10/15/2015 | ||||||||
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| AuthorizedOfficialLastName: | FIAMINGO | ||||||||
| AuthorizedOfficialFirstName: | JANET | ||||||||
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| AuthorizedOfficialTitleorPosition: | NURSE PRACTITIONER | ||||||||
| AuthorizedOfficialTelephone: | 7275537008 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | ARNP | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | FL RN 1640282 | FL | Y | Hospitals | General Acute Care Hospital |
No ID Information.