Organization
BAYCARE MEDICAL GROUP INC
Active
Other names
MIdFlorida Urology
Organization subpart
No
Provider details
NPI number
Authorized official
LYNDA GORKEN (VP, PFS)
(727) 281-9202
Entity
Organization
Contact information
Practice address
7599 CYPRESS GARDENS BLVD STE P, WINTER HAVEN, FL 33884-3263
(863) 845-2688
(863) 292-4653
Mailing address
2995 DREW ST FL 3, CLEARWATER, FL 33759-3012
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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