# BAYCARE MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MP Diabetes & Endo Ctr Harbor Oaks
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043880081
- **Authorized official:** LYNDA GORKEN (VP, PFS)
- **Authorized official phone:** (727) 281-9202

## Contact information

- **Practice address:** 430 MORTON PLANT ST STE 400, CLEARWATER, FL 33756-3394
- **Practice address phone:** (727) 461-8300
- **Practice address fax:** (727) 635-2187
- **Mailing address:** 2995 DREW ST FL 3, CLEARWATER, FL 33759-3012

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/01/2021
- **Last updated:** 07/01/2021