Baycare Medical Group INC
Pediatrics in Sarasota, FL. Organization (NPI-2).
NPI number1164092524
StatusActive
Last updated in NPPESJun 29, 2021
Details
- NPI
- 1164092524
- Entity type
- Organization (NPI-2)
- Legal business name
- Baycare Medical Group INC
- Organization subpart
- No
- Enumeration date
- Jun 29, 2021
- Certification date
- Jun 29, 2021
- Last updated
- Jun 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | – | – | Yes |
| 207Q00000X | Family Medicine | – | – |
Other names
- Children'S Medical Services (Other Name)
Practice location
5881 Rand BlvdSarasota, FL 34238-5115
Phone 941-568-6836 · Fax 941-568-6836
Mailing address
2995 Drew St Fl 3Clearwater, FL 33759-3012
Authorized official
Lynda Gorken
Vp, Pfs
7272819202
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