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Organization

BAYCARE MEDICAL GROUP INC

Active
Other names
SunCoast Medical Clinic Gastroenterology III
Organization subpart
No

Provider details

NPI number
Authorized official
LYNDA GORKEN (VP, PFS)
(727) 281-9202
Entity
Organization

Contact information

Practice address
1201 5TH AVE N STE 409, ST PETERSBURG, FL 33705-1433
(727) 825-1661
(727) 825-1361
Mailing address
2995 DREW ST FL 3, CLEARWATER, FL 33759-3012

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary

Other

Enumeration date
07/26/2021
Last updated
07/26/2021
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