| Baycare Medical Group Inc | |
|
630 Pasadena Ave S St Petersburg FL 33707-2128 | |
| (727) 360-1784 | |
| (727) 360-1823 |
| Full Name | Baycare Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 630 Pasadena Ave S, St Petersburg, Florida |
| Authorized Official Name and Position | Lynda Gorken (VP) |
| 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 630 Pasadena Ave S St Petersburg FL 33707-2128 Ph: (727) 360-1784 |
| NPI Number | 1114597911 |
|---|---|
| Provider Enumeration Date | 06/25/2021 |
| Last Update Date | 06/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114597911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
John E Kern Do Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5838 9th Ave N, St Petersburg, FL 33710 Phone: 727-347-8132 Fax: 727-347-3560 | |
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