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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