Organization
BAYCARE MEDICAL GROUP, INC.
Active
Parent organization
BAYCARE MEDICAL GROUP, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAYCARE MEDICAL GROUP, INC.
Authorized official
MRS. LYNDA GORKEN (VP, PFS)
(727) 281-9390
Entity
Organization
Contact information
Practice address
2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
(727) 281-9390
(813) 635-2613
Mailing address
2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
(727) 281-9390
(813) 635-2613
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MEDICARE
39599
FL
Enumeration date
06/08/2016
Last updated
05/16/2024
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