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BAYSIDE MEDICAL GROUP
NPI 1154879443
Nurse Practitioner - Family in Tampa, FL

Active since September 14, 2016
6228 GREENWICH DR, TAMPA, FL 33647(813) 679-7670(813) 977-8009 Get Directions Write a Review

NPPES record last updated: September 14, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bayside Medical Group NPPES

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

BAYSIDE MEDICAL GROUP (NPI 1154879443) is a healthcare organization registered as a family in Tampa, Florida and active in the NPI registry since September 2016. The organization lists Martin Akachukwu Esuzor, Arnp Rrovider, as its authorized official.

NPPES Registry Identity

NPI1154879443
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameBAYSIDE MEDICAL GROUP
Location Address6228 GREENWICH DRTampa, FL 33647-1142
Mailing Address6228 Greenwich DrTampa, FL 33647-1142 · (813) 679-7670 · Fax (813) 977-8009
Phone(813) 679-7670
Fax(813) 977-8009
Organization SubpartNo
Authorized OfficialMartin Akachukwu EsuzorArnp Rrovider · (813) 679-7670
Enumeration DateSeptember 14, 2016
✔ NPI 1154879443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · ARNP3380082
6228 GREENWICH DR, Tampa, FL 33647
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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

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 Bayside Medical Group's NPI number?

The NPI number for Bayside Medical Group is 1154879443. It was assigned to this organization in the NPPES registry on September 14, 2016.

Where is Bayside Medical Group located?

Bayside Medical Group is located at 6228 Greenwich Dr, Tampa, FL 33647. The listed phone number is (813) 679-7670.

What is Bayside Medical Group's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Bayside Medical Group was last updated on September 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.