# BAYCARE URGENT CARE, LLC

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

## Provider details

- **NPI number:** 1861068017
- **Authorized official:** LYNDA GORKEN (VP)
- **Authorized official phone:** (727) 281-9202

## Contact information

- **Practice address:** 900 CARILLON PKWY, ST PETERSBURG, FL 33716-1115
- **Practice address phone:** (727) 561-2670
- **Mailing address:** 2995 DREW ST FL 3, CLEARWATER, FL 33759-3012
- **Mailing address phone:** (172) 728-1931

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/28/2021
- **Last updated:** 05/28/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | PENDING | — | FL |
