Organization
BAYCARE MEDICAL GROUP INC
Active
Other names
Cypress Creek Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
LYNDA GORKEN (VP, PFS)
(727) 281-9202
Entity
Organization
Contact information
Practice address
24630 STATE ROAD 54, LUTZ, FL 33559-7307
(813) 948-3903
(813) 443-8138
Mailing address
2995 DREW ST FL 3, CLEARWATER, FL 33759-3012
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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