# BAYCARE MEDICAL GROUP, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043269871
- **Authorized official:** MS. LYNDA A. GORKEN (VP, PFS)
- **Authorized official phone:** (727) 281-9390

## Contact information

- **Practice address:** 2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
- **Practice address phone:** (727) 281-9065
- **Mailing address:** 2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
- **Mailing address phone:** (727) 281-9065

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | — | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/09/2006
- **Last updated:** 01/16/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 263650600 | — | FL |
| 05 | — | 263650601 | — | FL |
| 01 | — | CA1847 | RAILROAD MEDICARE GR NO | FL |