Provider Demographics
NPI:1215119920
Name:BAY ORTHOPEDICS
Entity type:Organization
Organization Name:BAY ORTHOPEDICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-747-6830
Mailing Address - Street 1:11111 PANAMA CITY BEACH PKWY
Mailing Address - Street 2:SUITE 134
Mailing Address - City:PANAMA CITY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32407-2448
Mailing Address - Country:US
Mailing Address - Phone:850-914-7050
Mailing Address - Fax:850-914-7055
Practice Address - Street 1:11111 PANAMA CITY BEACH PKWY
Practice Address - Street 2:SUITE 302
Practice Address - City:PANAMA CITY BEACH
Practice Address - State:FL
Practice Address - Zip Code:32407-2448
Practice Address - Country:US
Practice Address - Phone:850-914-7050
Practice Address - Fax:850-914-7055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-04
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty