| Baycare Medical Group Inc | |
|
10141 Big Bend Rd Ste 206 Riverview FL 33578-7422 | |
| (813) 397-1274 | |
| Not Available |
| Full Name | Baycare Medical Group Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 10141 Big Bend Rd Ste 206, Riverview, 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 10141 Big Bend Rd Ste 206 Riverview FL 33578-7422 Ph: (813) 397-1274 |
| NPI Number | 1043881717 |
|---|---|
| Provider Enumeration Date | 07/05/2021 |
| Last Update Date | 07/05/2021 |
| Certification Date | 07/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043881717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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