Organization
BAYCARE MEDICAL GROUP INC
Active
Other names
General, Colon, Rectal Surgery Tampa
Organization subpart
No
Provider details
NPI number
Authorized official
LYNDA GORKEN (VP, PFS)
(727) 281-9202
Entity
Organization
Contact information
Practice address
4301 N HABANA AVE, TAMPA, FL 33607-6546
(813) 879-5010
(813) 443-8148
Mailing address
2995 DREW ST FL 3, CLEARWATER, FL 33759-3012
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
208C00000X
Colon & Rectal Surgery Physician
—
—
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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