Organization
BAYCARE MEDICAL GROUP INC
Active
Other names
Cardiac, Vascular & Thoracic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
LYNDA GORKEN (VP, PFS)
(727) 281-9202
Entity
Organization
Contact information
Practice address
3003 W DR MLK BLVD FL JRBLVD2, TAMPA, FL 33607-6307
(813) 321-6580
(813) 443-8185
Mailing address
2995 DREW ST FL 3, CLEARWATER, FL 33759-3012
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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