Organization
BAYCARE URGENT CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNDA GORKEN (VP PFS DIVISION)
(727) 281-9202
Entity
Organization
Contact information
Practice address
18610 FERNVIEW STREET, LAND O LAKES, FL 34638
(727) 281-9065
Mailing address
2995 DREW ST FL 3, CLEARWATER, FL 33759-3012
(727) 281-9065
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
FL
Enumeration date
06/21/2021
Last updated
06/21/2021
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