Organization · NPI-2

Baycare Medical Group, INC.

General Practice · Clearwater, FL

NPI number1043269871

StatusActive

Last updated in NPPESJan 16, 2025

Details

NPI: 1043269871
Entity type: Organization (NPI-2)
Legal business name: Baycare Medical Group, INC.
Organization subpart: No
Enumeration date: May 9, 2006
Certification date: Jan 16, 2025
Last updated: Jan 16, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
208D00000X	General Practice	–	–	Yes
103TC0700X	Psychologist, Clinical	–	–
133V00000X	Dietitian, Registered	–	–
207Q00000X	Family Medicine	–	–
207R00000X	Internal Medicine	–	–
207RC0000X	Internal Medicine, Cardiovascular Disease	–	–
207RE0101X	Internal Medicine, Endocrinology, Diabetes & Metabolism	–	–
207T00000X	Neurological Surgery	–	–
207V00000X	Obstetrics & Gynecology	–	–
2084N0400X	Psychiatry & Neurology, Neurology	–	–
208600000X	Surgery	–	–
2086S0129X		–	–
208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)	–	–
363A00000X	Physician Assistant	–	–
363L00000X	Nurse Practitioner	–	–

Practice location

2995 Drew St Fl 2
Clearwater, FL 33759-3012

Phone 727-281-9065

Mailing address

2995 Drew St Fl 2
Clearwater, FL 33759-3012

Phone 727-281-9065

Authorized official

Lynda A. Gorken
Vp, Pfs
7272819390

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