BAYSIDE FAMILY HEALTHCARE CLEARWATER, LLC
NPI 1760791859
Family Medicine in Clearwater, FL

Active since October 06, 2010
107 N MCMULLEN BOOTH RD, CLEARWATER, FL 33759(727) 504-7073(813) 200-3313 Get Directions Write a Review

NPPES record last updated: October 6, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bayside Family Healthcare Clearwater, Llc NPPES

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

BAYSIDE FAMILY HEALTHCARE CLEARWATER, LLC (NPI 1760791859) is a healthcare organization registered as a family medicine in Clearwater, Florida and active in the NPI registry since October 2010. The organization lists Patrick E Hickey, Mgrm, as its authorized official.

NPPES Registry Identity

NPI1760791859
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBAYSIDE FAMILY HEALTHCARE CLEARWATER, LLC
Location Address107 N MCMULLEN BOOTH RDClearwater, FL 33759-4450
Mailing Address107 N Mcmullen Booth RdClearwater, FL 33759-4450 · (727) 504-7073 · Fax (813) 200-3313
Fax(813) 200-3313
Organization SubpartNo
Authorized OfficialPatrick E HickeyMgrm · (727) 504-7073
Enumeration DateOctober 6, 2010
NPI 1760791859 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 · ME85120
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.
107 N MCMULLEN BOOTH RD, Clearwater, FL 33759

Other Identifiers 2

Medicaid274541100FL
Medicare UPINH33704FL

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 Family Healthcare Clearwater, LLC's NPI number?

The NPI number for Bayside Family Healthcare Clearwater, LLC is 1760791859. It was assigned to this organization in the NPPES registry on October 6, 2010.

Where is Bayside Family Healthcare Clearwater, LLC located?

Bayside Family Healthcare Clearwater, LLC is located at 107 N Mcmullen Booth Rd, Clearwater, FL 33759. The listed phone number is (727) 504-7073.

What is Bayside Family Healthcare Clearwater, 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 Bayside Family Healthcare Clearwater, LLC was last updated on October 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.