Provider Demographics
NPI:1356113955
Name:WAYPOINT DIRECT PRIMARY CARE PLLC
Entity type:Organization
Organization Name:WAYPOINT DIRECT PRIMARY CARE PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:CALISCH
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:901-661-6589
Mailing Address - Street 1:77 BAY BRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:GULF BREEZE
Mailing Address - State:FL
Mailing Address - Zip Code:32561-4468
Mailing Address - Country:US
Mailing Address - Phone:850-912-9156
Mailing Address - Fax:970-876-6582
Practice Address - Street 1:77 BAY BRIDGE DR
Practice Address - Street 2:
Practice Address - City:GULF BREEZE
Practice Address - State:FL
Practice Address - Zip Code:32561-4468
Practice Address - Country:US
Practice Address - Phone:850-912-9156
Practice Address - Fax:970-876-6582
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-26
Last Update Date:2024-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty