Whalio Doctors

NPI 1003080722

Bay Central Medical Group

Organisation Pediatrics Physician Tampa, FL

Practice location

Address
4712 N Armenia Ave Suite 102, Tampa, FL 33603-2611
Phone
(813) 873-1725
Fax
(813) 873-2924

Authorised official

Name
Manuel Rolland
Title
Office Manager
Phone
(813) 873-1725

Registered specialties (3)

Pediatrics Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence ME 59316 (FL)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence ME 95998 (FL)
Pediatrics Physician
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence ME 80860 (FL)

Registry record

NPI
1003080722
Entity type
Organization
NPI issued
14 Apr 2008
Record last updated
14 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.