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NPI Profile for BAYCARE MEDICAL GROUP INC in SAINT PETERSBURG, FL.
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Neurology |
2084N0400X | 13 | Physician/Neurology | |
Clinical Neuropsychologist |
103G00000X |
| NPI Number | 1275103624 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 06/29/2021 | |
| Last updated | 06/29/2021 - About 5 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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BAYCARE MEDICAL GROUP INC
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| KHALILAH WESTON, MD 995 16TH ST N SAINT PETERSBURG, FL |
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| MICHAEL M LOSCALZO, MD 10000 BAY PINES BLVD BAY PINES, FL |
| DAVID L SLACK, PhD 10,000 BAY PINES BLVD. BAY PINES, FL |
BAYCARE MEDICAL GROUP INC