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Contact Information

BAYCARE MEDICAL GROUP, INC.
2995 DREW ST FL 2
CLEARWATER, FL33759-3012
 Phone: 727-281-9065
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Endocrinology, Diabetes & Metabolism

207RE0101X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Neurological Surgery

207T00000X 02 Physician/General Surgery
 

Neurology

2084N0400X 13 Physician/Neurology
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgery

208600000X 02 Physician/General Surgery
 

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
 

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for BAYCARE MEDICAL GROUP INC · (Female)

NPI # 1043269871
Status Active
Credentials
Entity Individual
Enumeration date 05/09/2006
Last updated 01/16/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • FL Medicaid 263650600
  • FL Medicaid 263650601
  • FL Other CA1847 RAILROAD MEDICARE GR NO
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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