Baycare Medical Group INC
Pediatrics in Riverview, FL. Organization (NPI-2).
NPI number1104499367
StatusActive
Last updated in NPPESJul 23, 2021
Details
- NPI
- 1104499367
- Entity type
- Organization (NPI-2)
- Legal business name
- Baycare Medical Group INC
- Organization subpart
- No
- Enumeration date
- Jul 23, 2021
- Certification date
- Jun 28, 2021
- Last updated
- Jul 23, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | – | – | Yes |
| 207Q00000X | Family Medicine | – | – |
Other names
- Big Bend Pediatrics (Other Name)
Practice location
10141 Big Bend Rd Ste 103Riverview, FL 33578-7421
Phone 727-302-8740 · Fax 813-605-6060
Mailing address
2995 Drew St Fl 3Clearwater, FL 33759-3012
Authorized official
Lynda Gorken
Vp, Pfs
7272819202
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All 37 Pediatrics Physician providers in Riverview · All 2,538 providers in Riverview
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