| Baycare Medical Group Inc | |
|
619 Midflorida Dr Ste 1 Lakeland FL 33813-4916 | |
| (863) 701-7188 | |
| (863) 701-2014 |
| Full Name | Baycare Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 619 Midflorida Dr Ste 1, Lakeland, Florida |
| Authorized Official Name and Position | Lynda Gorken (VP, PFS) |
| Authorized Official Contact | 7272819202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baycare Medical Group Inc 2995 Drew St Fl 3 Clearwater FL 33759-3012 Ph: () - | Baycare Medical Group Inc 619 Midflorida Dr Ste 1 Lakeland FL 33813-4916 Ph: (863) 701-7188 |
| NPI Number | 1235708173 |
|---|---|
| Provider Enumeration Date | 06/24/2021 |
| Last Update Date | 06/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235708173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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