Baycare Medical Group Inc

Organization Active NPI Hematology & Oncology Physician · Plant City, FL

NPI 1003487760 · NPPES record last updated Jul 5, 2021

Key facts

NPI
1003487760
Entity type
Organization (NPI type 2)
Primary specialty
Hematology & Oncology Physician 207RH0003X
Legal business name
BAYCARE MEDICAL GROUP INC
Practice address
1601 W Timberlane Dr Ste 100
Plant City, FL 33566-0957
Phone
(813) 708-1312
NPI assigned
Jul 5, 2021
Organization subpart
No

Authorized official

Name
Lynda Gorken
Title
VP, PFS
Phone
(727) 281-9202

Corporate family (same tax ID) 12

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Jeffrey Jsourbeer MD (202 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
207RH0003X Yes

Addresses

Primary practice location

1601 W Timberlane Dr Ste 100
Plant City, FL 33566-0957

Mailing address

2995 Drew St FL 3
Clearwater, FL 33759-3012

Other names

  • Hematology Oncology at Walden Lakes Other name

Other providers in Plant City, FL

All providers in Plant City, FL · Hematology & Oncology Physician in Florida

Sources for this page

Verify at the official NPI Registry.