Organization · NPI-2
Baycare Medical Group, INC
Surgery · Clearwater, FL
NPI number1528638566
StatusActive
Last updated in NPPESJul 1, 2021
Details
- NPI
- 1528638566
- 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 |
|---|---|---|---|---|
| 208600000X | Surgery | – | – | Yes |
Other names
- Clearwater Surgical Associates, LLC (Other Name)
Practice location
1106 Druid Rd S Ste 301Clearwater, FL 33756-3841
Phone 727-446-5681 · Fax 727-461-6258
Mailing address
2995 Drew St Fl 3Clearwater, FL 33759-3012
Authorized official
Lynda Gorken
Vp, Pfs
7272819202
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.