Baycare Medical Group INC
Family Medicine in St Petersburg, FL. Organization (NPI-2).
NPI number1205408317
StatusActive
Last updated in NPPESJul 16, 2021
Details
- NPI
- 1205408317
- Entity type
- Organization (NPI-2)
- Legal business name
- Baycare Medical Group INC
- Organization subpart
- No
- Enumeration date
- Jul 16, 2021
- Certification date
- Jun 22, 2021
- Last updated
- Jul 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 207R00000X | Internal Medicine | – | – |
Other names
- Allendale Primary Care (Other Name)
Practice location
6801 4th St NSt Petersburg, FL 33702-6844
Phone 727-822-3238 · Fax 727-823-1278
Mailing address
2995 Drew St Fl 3Clearwater, FL 33759-3012
Phone 727-281-9390 · Fax 813-635-2613
Authorized official
Lynda Gorken
Vp,pfs
7272819202
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