Organization · Type 2 NPI
Bayside Medical Practice of Vilano Beach LLC
Primary Care Clinic/Center · St. Augustine, FL
NPI number
1760168330
Active
Practice location
101 Yacht Club Dr
St. Augustine, FL 32084-2196
Fax (904) 907-2113
Mailing address
240 San Marco Ave
St. Augustine, FL 32084-2729
Other practice locations
- 240 San Marco Ave, St. Augustine, FL 32084-2729 · (904) 217-4550
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
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About NPI 1760168330
Bayside Medical Practice of Vilano Beach LLC's National Provider Identifier is 1760168330, issued on Jun 27, 2023. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in St. Augustine, FL. The record was last updated on Sep 1, 2025.