Organization
BAYCARE MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNDA A. GORKEN (VP, PFS)
(727) 532-1355
Entity
Organization
Contact information
Practice address
2995 DREW STREET, EAST BLDG 2ND FLOOR, CLEARWATER, FL 33759
(727) 532-1355
Mailing address
2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
(727) 281-9065
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263650600
—
FL
Enumeration date
03/21/2016
Last updated
01/24/2022
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