LEO B. DALTON, D.O.
NPI 1114236940
Family Medicine in St Petersburg, FL

Active since September 28, 2010
9545 BAY PINES BLVD, ST PETERSBURG, FL 33708(727) 393-8715(727) 393-8717 Get Directions Write a Review

NPPES record last updated: September 28, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Leo B. Dalton, D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEO B. DALTON, D.O. (NPI 1114236940) is a healthcare organization registered as a family medicine in St Petersburg, Florida and active in the NPI registry since September 2010. The organization lists Leo Bernard Dalton, Owner, as its authorized official.

NPPES Registry Identity

NPI1114236940
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBAY SIDE MEDICAL CENTER LLC
Location Address9545 BAY PINES BLVDSt Petersburg, FL 33708-3754
Mailing Address9545 Bay Pines BlvdSt Petersburg, FL 33708-3754 · (727) 393-8715 · Fax (727) 393-8717
Fax(727) 393-8717
Organization SubpartNo
Authorized OfficialLeo Bernard DaltonOwner · (727) 393-8715
Enumeration DateSeptember 28, 2010
NPI 1114236940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in FL · OS3212
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

9545 BAY PINES BLVD, St Petersburg, FL 33708

Other Names 1

Other NameLeo B. Dalton, D.o.

Other Identifiers 4

Medicare PIN81796FL
Medicare UPINE34354FL
OtherOS3212FL · State License Number
Medicaid040070000FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
9545 BAY PINES BLVD
ST PETERSBURG, FL 33708
Internal Medicine
9545 BAY PINES BLVD
ST PETERSBURG, FL 33708

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bay Side Medical Center LLC's NPI number?

The NPI number for Bay Side Medical Center LLC is 1114236940. It was assigned to this organization in the NPPES registry on September 28, 2010. The provider is also known as Leo B. Dalton, D.O..

Where is Bay Side Medical Center LLC located?

Bay Side Medical Center LLC is located at 9545 Bay Pines Blvd, St Petersburg, FL 33708. The listed phone number is (727) 393-8715.

What is Bay Side Medical Center LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Bay Side Medical Center LLC was last updated on September 28, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.