Organization
BAYCARE MEDICAL GROUP INC
Active
Organization
BAYCARE MEDICAL GROUP INC
Active
Other names
Pediatric Neurosurgery
Organization subpart
No
Provider details
NPI number
Authorized official
LYNDA GORKEN (VP, PFS)
(727) 281-2021
Entity
Organization
Contact information
Practice address
4321 N MACDILL AVE STE 407, TAMPA, FL 33607-6396
(813) 554-8690
Mailing address
2995 DREW ST FL 3, CLEARWATER, FL 33759-3012
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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