Graduated: 2022
NPI: 1669117693
Practice Locations (13)
BAYCARE MEDICAL GROUP, INC.
2461 ENTERPRISE RD, SUITE C
CLEARWATER, FL 337631726
7277255060
BAYCARE MEDICAL GROUP, INC.
4211 VAN DYKE RD
LUTZ, FL 335588005
BAYCARE MEDICAL GROUP, INC.
3001 W DR MARTIN LUTHER KING JR BLVD, 1ST FLOOR
TAMPA, FL 336076307
8133216820
BAYCARE MEDICAL GROUP, INC.
3001 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 336076307
8133216589
BAYCARE MEDICAL GROUP, INC.
3003 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 336076307
BAYCARE MEDICAL GROUP, INC.
3101 W DR MLK BLVD, SUITE 300
TAMPA, FL 336076203
7273156974
VIDANT MEDICAL GROUP LLC
2380 W ARLINGTON BLVD
GREENVILLE, NC 278342846
2528164001
VIDANT MEDICAL GROUP LLC
2100 STANTONSBURG RD
GREENVILLE, NC 278342818
2528471757
VIDANT MEDICAL GROUP LLC
401 A N MAIN ST
KENANSVILLE, NC 283498801
9102960941
VIDANT MEDICAL GROUP LLC
417 N MAIN ST
KENANSVILLE, NC 283498801
9102968080
VIDANT MEDICAL GROUP LLC
401 N MAIN ST
KENANSVILLE, NC 283498801
9102960941
PROACTIVE THERAPY OF NORTH CAROLINA INC
2303 WELLINGTON DR SW, SUITE B
WILSON, NC 278938620
2522436818
PROACTIVE THERAPY OF NORTH CAROLINA INC
2303 WELLINGTON DR SW
WILSON, NC 278938620
2522436818
Source: CMS National Downloadable File, September 2026.