Baycare Medical Group INC
Registered Nurse, Diabetes Educator in Safety Harbor, FL. Organization (NPI-2).
NPI number1164092102
StatusActive
Last updated in NPPESJul 1, 2021
Details
- NPI
- 1164092102
- Entity type
- Organization (NPI-2)
- Legal business name
- Baycare Medical Group INC
- Organization subpart
- No
- Enumeration date
- Jul 1, 2021
- Certification date
- Jul 1, 2021
- Last updated
- Jul 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WD0400X | Registered Nurse, Diabetes Educator | – | – | Yes |
Other names
- Diabetes Education Center (Other Name)
Practice location
1840 Mease Dr Ste 410Safety Harbor, FL 34695-6606
Phone 727-734-6888 · Fax 727-266-4913
Mailing address
2995 Drew St Fl 3Clearwater, FL 33759-3012
Authorized official
Lynda Gorken
Vp,pfs
7272819202
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