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Organization
BAYCARE MEDICAL GROUP INC
Active
Organization
BAYCARE MEDICAL GROUP INC
Active
Other names
Suncoast Medical Clinic Surgery Vascular
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 3E, ST PETERSBURG, FL 33705-1407
(727) 824-8209
(727) 824-7154
Mailing address
2995 DREW ST FL 3, CLEARWATER, FL 33759-3012
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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