Organization · Type 2 NPI
Bayside Medical of Northwest FL LLC
Family Nurse Practitioner · Port St. Joe, FL
NPI number
1821647314
Active
Practice location
101 Good Morning St Ste 109B
Port St. Joe, FL 32456-4765
Fax (850) 659-9565
Mailing address
204 Coral Dr
Port St. Joe, FL 32456-6257
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1821647314
Bayside Medical of Northwest FL LLC's National Provider Identifier is 1821647314, issued on Sep 6, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Port St. Joe, FL. The record was last updated on Mar 18, 2024.