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BAYSIDE MEDICAL OF NORTHWEST FL LLC
NPI 1821647314
Nurse Practitioner - Family in Port Saint Joe, FL

Active since September 06, 2019
101 GOOD MORNING ST STE 109B, PORT SAINT JOE, FL 32456(850) 357-8192(850) 659-9565 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 21, 2021, Sep 6, 2019 (2 updates tracked since 2019).

About Bayside Medical Of Northwest Fl Llc NPPES

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

BAYSIDE MEDICAL OF NORTHWEST FL LLC (NPI 1821647314) is a healthcare organization registered as a family in Port Saint Joe, Florida and active in the NPI registry since September 2019. The organization lists Brittany G Mccroan, Owner, as its authorized official.

NPPES Registry Identity

NPI1821647314
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameBAYSIDE MEDICAL OF NORTHWEST FL LLC
Location Address101 GOOD MORNING ST STE 109BPort Saint Joe, FL 32456-4765
Mailing Address204 Coral DrPort St Joe, FL 32456-6257 · (850) 357-8192 · Fax (850) 659-9565
Phone(850) 357-8192
Fax(850) 659-9565
Organization SubpartNo
Authorized OfficialBrittany G MccroanOwner · (850) 357-8192
Enumeration DateSeptember 6, 2019
Last NPPES UpdateMarch 18, 20242 updates tracked since enumeration
NPPES CertifiedMarch 18, 2024
✔ NPI 1821647314 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
101 GOOD MORNING ST STE 109B, Port Saint Joe, FL 32456
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

SALT AND IVY GULF LLC
Family Medicine
101 GOOD MORNING ST STE 109B
PORT ST JOE, FL 32456
Gulf County (850) 357-8192
MRS. BRITTANY GARDNER MCCROAN APRN
Nurse Practitioner
101 GOOD MORNING ST STE 109B
PORT ST JOE, FL 32456
Gulf County (850) 357-8192

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 Of Northwest Fl LLC's NPI number?

The NPI number for Bayside Medical Of Northwest Fl LLC is 1821647314. It was assigned to this organization in the NPPES registry on September 6, 2019.

Where is Bayside Medical Of Northwest Fl LLC located?

Bayside Medical Of Northwest Fl LLC is located at 101 Good Morning St Ste 109B, Port Saint Joe, FL 32456. The listed phone number is (850) 357-8192.

What is Bayside Medical Of Northwest Fl LLC'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 Of Northwest Fl LLC was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.