| Baycare Medical Group Inc | |
|
2424 Enterprise Rd Ste C Clearwater FL 33763-1704 | |
| (727) 799-6255 | |
| (727) 635-7865 |
| Full Name | Baycare Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2424 Enterprise Rd Ste C, Clearwater, 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 2424 Enterprise Rd Ste C Clearwater FL 33763-1704 Ph: (727) 799-6255 |
| NPI Number | 1891364733 |
|---|---|
| Provider Enumeration Date | 06/24/2021 |
| Last Update Date | 06/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891364733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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