| Baycare Medical Group Inc | |
|
4612 N Habana Ave Fl 1 Tampa FL 33614-7101 | |
| (813) 840-3526 | |
| (813) 840-3555 |
| Full Name | Baycare Medical Group Inc |
|---|---|
| Speciality | Internal Medicine - Rheumatology |
| Location | 4612 N Habana Ave Fl 1, Tampa, 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: () - | Baycare Medical Group Inc 4612 N Habana Ave Fl 1 Tampa FL 33614-7101 Ph: (813) 840-3526 |
| NPI Number | 1780254722 |
|---|---|
| Provider Enumeration Date | 07/01/2021 |
| Last Update Date | 07/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780254722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RR0500X | Internal Medicine - Rheumatology | (* (Not Available)) | Primary |
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