OrganizationActive
Bayside Healthcare Brandon Inc
NPI 1336322833 · Clinic/Center · Brandon, FL
Provider details
- NPI number
- 1336322833
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kevin Donofrio, President(813) 654-6568
- License
- HCC6754 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
615 Vonderburg Dr
Brandon, FL 33511-5972
Phone: (813) 654-1856
Fax: (813) 681-7268
Approximate (ZIP-level) locationGet directions
Mailing address
615 Vonderburg Dr
Brandon, FL 33511-5972
Registry dates
- Enumerated
- 2007-12-07
- Last updated
- 2007-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.