Organization
BAYCARE MEDICAL GROUP INC
Active
Other names
Pediatric Surgery Big Bend
Organization subpart
No
Provider details
NPI number
Authorized official
LYNDA GORKEN (VP, PFS)
(727) 281-9202
Entity
Organization
Contact information
Practice address
6901 SIMMONS LOOP FL 2, RIVERVIEW, FL 33578-9498
(813) 554-8384
Mailing address
2995 DREW ST FL 3, CLEARWATER, FL 33759-3012
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
07/05/2021
Last updated
07/05/2021
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