Organization
BAYCARE BEHAVIORAL HEALTH ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNDA GORKEN (VP)
(727) 281-9202
Entity
Organization
Contact information
Practice address
21808 STATE ROAD 54, LUTZ, FL 33549-6923
(727) 315-6974
(813) 635-2613
Mailing address
2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
(727) 315-6974
(813) 635-2613
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004874800
—
FL
Enumeration date
02/08/2012
Last updated
03/06/2025
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