Organization
BAYCARE MEDICAL GROUP INC
Active
Other names
General Surgery at Bloomingdale Health Hub
Organization subpart
No
Provider details
NPI number
Authorized official
LYNDA GORKEN (VP. PFS)
(727) 281-9202
Entity
Organization
Contact information
Practice address
2470 BLOOMINGDALE AVE STE 123, VALRICO, FL 33596-6403
(813) 708-1312
(813) 999-8803
Mailing address
2995 DREW ST FL 3, CLEARWATER, FL 33759-3012
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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