Organization
BAYCARE MEDICAL GROUP PEDIATRIC WALK-IN CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN L CORRIGAN (CAO)
(727) 532-0002
Entity
Organization
Contact information
Practice address
4211 VAN DYKE RD, SUITE 100, LUTZ, FL 33558-8005
(813) 960-1813
(813) 443-8172
Mailing address
PO BOX 743409, ATLANTA, GA 30374-3409
(727) 532-0002
(727) 532-1325
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
FL
Other
Enumeration date
02/02/2016
Last updated
02/02/2016
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