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Organization

BAYCARE BEHAVIORAL HEALTH INC.

Active
Other names
Bardmoor Office - Primary Care
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LYNDA GORKEN (VICE PRESIDENT)
(727) 281-9390
Entity
Organization

Contact information

Practice address
8787 BRYAN DAIRY RD STE 275, LARGO, FL 33777-1260
(727) 457-5614
(813) 635-2613
Mailing address
2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
(727) 281-9390
(813) 635-2613

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
060297338
FL
Enumeration date
04/04/2012
Last updated
05/21/2024
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