Baycare Medical Group Inc | |
200 N Kentucky Ave Ste 114 Lakeland FL 33801-4909 | |
(863) 413-3580 | |
(863) 413-3597 |
Full Name | Baycare Medical Group Inc |
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Speciality | Family Medicine |
Location | 200 N Kentucky Ave Ste 114, 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 |
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Baycare Medical Group Inc 2995 Drew St Fl 3 Clearwater FL 33759-3012 Ph: () - | Baycare Medical Group Inc 200 N Kentucky Ave Ste 114 Lakeland FL 33801-4909 Ph: (863) 413-3580 |
NPI Number | 1225608789 |
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Provider Enumeration Date | 06/28/2021 |
Last Update Date | 06/28/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225608789 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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