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Bayside Medical Practice Of Vilano Beach Llc
Primary Care Clinic/Center in St Augustine, Florida
NPI 1760168330

Bayside Medical Practice Of Vilano Beach Llc is a Primary Care Clinic/Center based in Saint Augustine, FL and is specialized in Primary Care. Bayside Medical Practice Of Vilano Beach Llc practices in St Augustine, FL. The NPI Number for Bayside Medical Practice Of Vilano Beach Llc is 1760168330 and holds a License No. (Florida).

The current practice location address for Bayside Medical Practice Of Vilano Beach Llc is 101 Yacht Club Dr, St Augustine, FL and can be reached out via phone at 904-217-4550.

Location: 101 Yacht Club Dr, St Augustine, FL, 32084-2196
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760168330
Provider Name
Bayside Medical Practice Of Vilano Beach Llc
Credential
Provider Entity Type
Organization
Address
101 Yacht Club Dr, St Augustine, FL, 32084-2196
Phone Number
904-217-4550
Fax Number
Provider Enumeration Date
06/27/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
101 Yacht Club Dr
City
St Augustine
State
Florida
Zip
32084-2196
Phone Number
904-217-4550
Fax Number
person
Provider Business Mailing Address Details
Address
101 Yacht Club Dr
City
St Augustine
State
Florida
Zip
32084-2196
Phone Number
904-217-4550
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
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