Baycare Medical Group Inc
Organization Active NPI Family Medicine Physician · Dunedin, FL
NPI 1043889959 · NPPES record last updated Jun 24, 2021
Key facts
- NPI
- 1043889959
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- BAYCARE MEDICAL GROUP INC
- Practice address
- 180 Patricia Ave
Dunedin, FL 34698-8103 - Phone
- (727) 763-3419
- Fax
- (813) 635-2638
- NPI assigned
- Jun 24, 2021
- Organization subpart
- No
Authorized official
- Name
- Lynda Gorken
- Title
- VP, PFS
- Phone
- (727) 281-9202
Corporate family (same tax ID) 20
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1056200 | Baycare Medical Group Inc | Certificate of waiver | Jul 9, 2028 |
National Provider Directory
- Tax ID family
- Jeffrey Jsourbeer MD
Locations
180 Patricia Ave
Dunedin, FL 34698
Phone (727) 733-4193
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Internal Medicine Physician |
207R00000X |
Addresses
Primary practice location
180 Patricia Ave
Dunedin, FL 34698-8103
Mailing address
2995 Drew St FL 3
Clearwater, FL 33759-3012
Phone (727) 281-9390
Other names
- Dunedin Primary Care
Other providers in Dunedin, FL
- Bay Area Pain Management Center
- Bay Breeze Foot & Ankle Specialists, PLLC
- Bay Pines Heatlh Care System
- Baycare Alliant Hospital Inc
- Baycare Home Care, Inc.
- Baycare Medical Group Inc
- Baycare Medical Group Inc
- Baycare Medical Group Inc
- Baycare Medical Group, Inc
- Baycare Medical Group, Inc.
All providers in Dunedin, FL · Family Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.