Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Bayside Family Healthcare Clearwater, LLC

Organization Family Medicine Physician · NPI 1760791859

Bayside Family Healthcare Clearwater, LLC provides Family Medicine Physician services in Clearwater, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

107 N McMullen Booth Rd
Clearwater, FL 33759-4450 Not confirmed with CMS for 16 years — call before visiting
Phone: (727) 504-7073
Fax: (813) 200-3313
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME85120 (FL)

Record details

NPI number1760791859
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patrick Hickey — Mgrm · (727) 504-7073
NPI enumeratedOctober 6, 2010
Last updated in NPPESOctober 6, 2010
Mailing address107 N McMullen Booth Rd, Clearwater, FL 33759-4450

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