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Organization
BAYCARE MEDICAL GROUP, INC.
Active
Organization
BAYCARE MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNDA A. GORKEN (VP, PFS)
(727) 281-9390
Entity
Organization
Contact information
Practice address
2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
(727) 281-9065
Mailing address
2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
(727) 281-9065
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
133V00000X
Registered Dietitian
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
2084N0400X
Neurology Physician
—
—
208600000X
Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263650600
—
FL
05
—
263650601
—
FL
01
—
CA1847
RAILROAD MEDICARE GR NO
FL
Enumeration date
05/09/2006
Last updated
01/16/2025
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