Provider Demographics
NPI:1568833531
Name:BAYFRONT MEDICAL CENTER
Entity Type:Organization
Organization Name:BAYFRONT MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:FIAMINGO
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:727-553-7008
Mailing Address - Street 1:601 7TH ST S
Mailing Address - Street 2:SUITE 530
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-4704
Mailing Address - Country:US
Mailing Address - Phone:727-553-7008
Mailing Address - Fax:727-553-7451
Practice Address - Street 1:601 7TH ST S
Practice Address - Street 2:SUITE 530
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-4704
Practice Address - Country:US
Practice Address - Phone:727-553-7008
Practice Address - Fax:727-553-7451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-15
Last Update Date:2015-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLFL RN 1640282282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital