| Baim Of Gilead Healthcare Services Inc. | |
|
9804 N 26th St Tampa FL 33612-8420 | |
| (813) 443-5028 | |
| Not Available |
| Full Name | Baim Of Gilead Healthcare Services Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9804 N 26th St, Tampa, Florida |
| Authorized Official Name and Position | Byron Demetruis Roquemore (CONSULTANT) |
| Authorized Official Contact | 8134435028 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baim Of Gilead Healthcare Services Inc. 9804 N 26th Street Tampa FL 33612 Ph: (813) 443-5028 | Baim Of Gilead Healthcare Services Inc. 9804 N 26th St Tampa FL 33612-8420 Ph: (813) 443-5028 |
| NPI Number | 1164863379 |
|---|---|
| Provider Enumeration Date | 07/16/2013 |
| Last Update Date | 07/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164863379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Florida) | Primary |
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