Baycare Medical Group Inc | |
6901 Simmons Loop Fl 4 Riverview FL 33578-9498 | |
(813) 302-8388 | |
(813) 870-4390 |
Full Name | Baycare Medical Group Inc |
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Speciality | Family Medicine |
Location | 6901 Simmons Loop Fl 4, 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 |
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Baycare Medical Group Inc 2995 Drew St Fl 3 Clearwater FL 33759-3012 Ph: (727) 281-9390 | Baycare Medical Group Inc 6901 Simmons Loop Fl 4 Riverview FL 33578-9498 Ph: (813) 302-8388 |
NPI Number | 1508439308 |
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Provider Enumeration Date | 07/20/2021 |
Last Update Date | 07/20/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508439308 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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