Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bayside Healthcare Brandon, Inc

Organization Family Medicine Physician · NPI 1356532246

Bayside Healthcare Brandon, Inc is a Family Medicine Physician 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
Phone: (813) 654-1856
Fax: (813) 681-7268
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 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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