Organization
BAYCARE MEDICAL GROUP INC
Active
Other names
Childrens Medical Services Lakeland
Organization subpart
No
Provider details
NPI number
Authorized official
LYNDA GORKEN (VP, PFS)
(727) 281-9202
Entity
Organization
Contact information
Practice address
200 N KENTUCKY AVE STE 114, LAKELAND, FL 33801-4909
(863) 413-3580
(863) 413-3597
Mailing address
2995 DREW ST FL 3, CLEARWATER, FL 33759-3012
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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