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

Bayside Medical Practice of Vilano Beach LLC

Organization Primary Care Clinic/Center · NPI 1760168330

Bayside Medical Practice of Vilano Beach LLC is a Primary Care Clinic/Center in St Augustine, Florida. Works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023
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

101 Yacht Club Dr
St Augustine, FL 32084-2196
Phone: (904) 217-4550
Fax: (904) 907-2113
Show map & directions

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

Additional practice locations (1)

  • 240 San Marco Ave, St Augustine, FL 32084-2729 — (904) 217-4550

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1760168330
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tammy Dye — President · (305) 916-0183
NPI enumeratedJune 27, 2023
Last updated in NPPESSeptember 1, 2025
Certification dateSeptember 1, 2025
Mailing address240 San Marco Ave, Saint Augustine, FL 32084-2729

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