Organization · NPI-2

Baycare Medical Group INC

· Clearwater, FL

NPI number1710558473
StatusActive
Last updated in NPPESJul 5, 2021

Details

NPI
1710558473
Entity type
Organization (NPI-2)
Legal business name
Baycare Medical Group INC
Organization subpart
No
Enumeration date
Jul 5, 2021
Certification date
Jul 5, 2021
Last updated
Jul 5, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2086S0129X ––Yes

Other names

  • Vascular Endovascular Surgery (Other Name)

Practice location

455 Pinellas St Ste 320
Clearwater, FL 33756-3369

Phone 727-443-3689

Mailing address

2995 Drew St Fl 3
Clearwater, FL 33759-3012

Authorized official

Lynda Gorken
Vp, Pfs
7272819202

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