| Baycare Life Management | |
|
2470 Bloomingdale Ave Ste 123 Valrico FL 33596-6403 | |
| (727) 281-9065 | |
| (813) 635-2613 |
| Full Name | Baycare Life Management |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2470 Bloomingdale Ave Ste 123, Valrico, Florida |
| Authorized Official Name and Position | Lynda Gorken (VICE PRESIDENT) |
| Authorized Official Contact | 7272819202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baycare Life Management 2995 Drew St Fl 2 Clearwater FL 33759-3012 Ph: (727) 281-9065 | Baycare Life Management 2470 Bloomingdale Ave Ste 123 Valrico FL 33596-6403 Ph: (727) 281-9065 |
| NPI Number | 1215403662 |
|---|---|
| Provider Enumeration Date | 10/23/2018 |
| Last Update Date | 04/29/2020 |
| Certification Date | 04/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215403662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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