Organization
BAYCARE MEDICAL GROUP INC
Active
Organization
BAYCARE MEDICAL GROUP INC
Active
Other names
Pediatric Hematology Oncology at SJ Childrens
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, TAMPA, FL 33607-6307
(813) 321-6860
(813) 287-6306
Mailing address
2995 DREW ST FL 3, CLEARWATER, FL 33759-3012
(727) 281-9390
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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