Organization
BAYCARE MEDICAL GROUP INC
Active
Other names
Habana Internal Medicine & Rheumatology
Organization subpart
No
Provider details
NPI number
Authorized official
LYNDA GORKEN (VP. PFS)
(727) 281-9202
Entity
Organization
Contact information
Practice address
4612 N HABANA AVE FL 1, TAMPA, FL 33614-7101
(813) 840-3526
(813) 840-3555
Mailing address
2995 DREW ST FL 3, CLEARWATER, FL 33759-3012
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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