# BAYCARE MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Electrophysiology at Plant City
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427628460
- **Authorized official:** LYNDA GORKEN (VP, PFS)
- **Authorized official phone:** (727) 281-9202

## Contact information

- **Practice address:** 301 N ALEXANDER ST, PLANT CITY, FL 33563-4303
- **Practice address phone:** (863) 292-4004
- **Practice address fax:** (863) 292-4005
- **Mailing address:** 2995 DREW ST FL 3, CLEARWATER, FL 33759-3012

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | NULL | Yes |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | — | Yes |

## Other

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