Organization
BAYCARE MEDICAL GROUP INC
Active
Other names
Cardiac Intesive Care
Organization subpart
No
Provider details
NPI number
Authorized official
LYNDA GORKEN (VP, PFS)
(727) 281-9202
Entity
Organization
Contact information
Practice address
3001 W DR MLK BLVD FL JRBLVD1, TAMPA, FL 33607-6307
(813) 870-4619
(813) 554-8557
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
06/28/2021
Last updated
06/28/2021
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