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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.

NPI # 1043269871
LBN Legal business name BAYCARE MEDICAL GROUP, INC.
Authorized official LYNDA GORKEN - (VP, PFS)
Entity Organization
Organization subpart 1 No
Enumeration date 05/09/2006
Last updated 01/16/2025 - More than a year ago
Identifiers
FL Medicaid 263650600
FL Medicaid 263650601
FL Other CA1847 RAILROAD MEDICARE GR NO
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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