Provider Demographics
NPI:1497406318
Name:BE AT HOME PRIMARY CARE PLLC
Entity Type:Organization
Organization Name:BE AT HOME PRIMARY CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CAMMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BAIRD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-565-4924
Mailing Address - Street 1:3202 10TH LN W
Mailing Address - Street 2:
Mailing Address - City:PALMETTO
Mailing Address - State:FL
Mailing Address - Zip Code:34221-2502
Mailing Address - Country:US
Mailing Address - Phone:941-565-4924
Mailing Address - Fax:941-357-4814
Practice Address - Street 1:3202 10TH LN W
Practice Address - Street 2:
Practice Address - City:PALMETTO
Practice Address - State:FL
Practice Address - Zip Code:34221-2502
Practice Address - Country:US
Practice Address - Phone:941-565-4924
Practice Address - Fax:941-357-4814
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-12
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty