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Organization
BAYCARE MEDICAL GROUP INC
Active
Organization
BAYCARE MEDICAL GROUP INC
Active
Other names
Suncoast Medical Clinic Ophthalmology
Organization subpart
No
Provider details
NPI number
Authorized official
LYNDA GORKEN (VP, PFS)
(727) 281-9202
Entity
Organization
Contact information
Practice address
620 10TH ST N STE 2C, ST PETERSBURG, FL 33705-1407
(727) 824-7134
(727) 724-8329
Mailing address
2995 DREW ST FL 3, CLEARWATER, FL 33759-3012
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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