Baycare Medical Group Inc
Organization Active NPI Family Medicine Physician · Tampa, FL
NPI 1104497718 · NPPES record last updated Jul 6, 2021
Key facts
- NPI
- 1104497718
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- BAYCARE MEDICAL GROUP INC
- Practice address
- 3550 W Waters Ave
Tampa, FL 33614-2716 - Phone
- (813) 264-6490
- NPI assigned
- Jul 6, 2021
- Organization subpart
- No
Authorized official
- Name
- Lynda Gorken
- Title
- VP, PFS
- Phone
- (727) 281-9202
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Jeffrey Jsourbeer MD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
3550 W Waters Ave
Tampa, FL 33614-2716
Mailing address
2995 Drew St FL 3
Clearwater, FL 33759-3012
Other names
- Orthopedics at St. Joseph's Community Care
Other providers in Tampa, FL
- Baycare Behavioral Health, Inc
- Baycare Health System
- Baycare Home Care, Inc.
- Baycare Medical Group Inc
- Baycare Medical Group Inc
- Baycare Medical Group Inc
- Baycare Medical Group Inc
- Baycare Medical Group Inc
- Baycare Medical Group Inc
- Baycare Medical Group Inc
All providers in Tampa, 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 Jul 6, 2021. 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.