Organization
BAYCARE MEDICAL GROUP INC
Active
Organization
BAYCARE MEDICAL GROUP INC
Active
Other names
Diabetes Education Center
Organization subpart
No
Provider details
NPI number
Authorized official
LYNDA GORKEN (VP,PFS)
(727) 281-9202
Entity
Organization
Contact information
Practice address
1840 MEASE DR STE 410, SAFETY HARBOR, FL 34695-6606
(727) 734-6888
(727) 266-4913
Mailing address
2995 DREW ST FL 3, CLEARWATER, FL 33759-3012
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
—
—
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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