Graduated: 2018
NPI: 1669953162
Practice Locations (6)
NORTHEAST MEDICAL GROUP INC
267 GRANT ST
BRIDGEPORT, CT 066102805
2033843000
BAYCARE MEDICAL GROUP, INC.
2461 ENTERPRISE RD, SUITE C
CLEARWATER, FL 337631726
7277255060
BAYCARE MEDICAL GROUP, INC.
3001 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 336076307
8133216589
BAYCARE MEDICAL GROUP, INC.
3001 W DR MARTIN LUTHER KING JR BLVD, 1ST FLOOR
TAMPA, FL 336076307
8133216820
BAYCARE MEDICAL GROUP, INC.
3003 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 336076307
UNM MEDICAL GROUP INC
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 871062719
5052722111
Source: CMS National Downloadable File, September 2026.