| Baycare Medical Group Inc | |
|
900 Carillon Pkwy Ste 304 St Petersburg FL 33716-1119 | |
| (727) 561-0912 | |
| (727) 561-9306 |
| Full Name | Baycare Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 900 Carillon Pkwy Ste 304, St Petersburg, 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: (727) 281-9390 | Baycare Medical Group Inc 900 Carillon Pkwy Ste 304 St Petersburg FL 33716-1119 Ph: (727) 561-0912 |
| NPI Number | 1023681863 |
|---|---|
| Provider Enumeration Date | 07/20/2021 |
| Last Update Date | 07/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023681863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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