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

Bayside Healthcare Brandon, Inc

Organization Family Medicine Physician · NPI 1356532246

Bayside Healthcare Brandon, Inc provides Family Medicine Physician services in Brandon, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

615 Vonderburg Dr
Brandon, FL 33511-5972 Not confirmed with CMS for 19 years — call before visiting
Phone: (813) 654-1856
Fax: (813) 681-7268
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence HCC6754 (FL)

Record details

NPI number1356532246
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Donofrio — President · (813) 654-1856
Other names Suncoast Total Healthcare
NPI enumeratedAugust 6, 2007
Last updated in NPPESAugust 6, 2007
Mailing address1903 W Lumsden Rd, Brandon, FL 33511-8818

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