Baycare Medical Group INC
Internal Medicine, Gastroenterology in Tampa, FL. Organization (NPI-2).
NPI number1477123776
StatusActive
Last updated in NPPESJun 29, 2021
Details
- NPI
- 1477123776
- 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 |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | – | – | Yes |
Other names
- Gastroenterology At Habana (Other Name)
Practice location
4301 N Habana AveTampa, FL 33607-6546
Phone 813-876-0951 · Fax 813-443-8140
Mailing address
2995 Drew St Fl 3Clearwater, FL 33759-3012
Authorized official
Lynda Gorken
Vp, Pfs
7272819202
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