Baycare Urgent Care, LLC
Organization Active NPI Community/Retail Pharmacy · Tampa, FL
NPI 1043752173 · NPPES record last updated Jan 7, 2019
Key facts
- NPI
- 1043752173
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- ME58834 (ZZ)
- Legal business name
- BAYCARE URGENT CARE, LLC
- Practice address
- 17512 Dona Michelle Dr
Suite 5
Tampa, FL 33647-3265 - Phone
- (813) 533-3494
- Fax
- (813) 605-5061
- NPI assigned
- Nov 7, 2016
- Organization subpart
- Yes
- Parent organization (as reported)
- BAYCARE URGENT CARE, LLC
Authorized official
- Name
- Lynda A Gorken
- Title
- VP, PFS
- Phone
- (727) 281-9390
Corporate family (same tax ID) 41
National Provider Directory
- Tax ID family
- Baycare Urgent Care LLC
- Part of
- Baycare Urgent Care LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ME58834 | ZZ | Yes |
Addresses
Primary practice location
17512 Dona Michelle Dr
Suite 5
Tampa, FL 33647-3265
Mailing address
2995 Drew Street
East BLDG 2ND Floor
Cleawater, FL 33759
Phone (727) 281-9390
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 274807000 | Medicaid | FL |
Other providers in Tampa, FL
- Baycare Medical Group Pediatric Walk-in, LLC
- Baycare Medical Group, Inc
- Baycare Occupational Health
- Baycare Outpatient Imaging LLC
- Baycare Outpatient Imaging LLC
- Baycare Urgent Care, LLC
- Baycare Urgent Care, LLC
- Baycare Urgent Care, LLC
- Baycare Urgent Care, LLC
- Baycare Urgent Care, LLC
All providers in Tampa, FL · Community/Retail Pharmacy in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.