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Baycare Medical Group, Inc

Organization Active NPI Family Medicine Physician · Dunedin, FL

NPI 1104499490 · NPPES record last updated Jul 23, 2021

Key facts

NPI
1104499490
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
BAYCARE MEDICAL GROUP, INC
Practice address
646 Virginia St Ste 601
Dunedin, FL 34698-6612
Phone
(727) 734-9494
Fax
(813) 635-7869
NPI assigned
Jul 23, 2021
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 24

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

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 207Q00000X Yes
Internal Medicine Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 207R00000X

Addresses

Primary practice location

646 Virginia St Ste 601
Dunedin, FL 34698-6612

Mailing address

2995 Drew St FL 3
Clearwater, FL 33759-3012

Other names

  • Mease Medical Arts III Other name

Other providers in Dunedin, FL

All providers in Dunedin, FL · Family Medicine Physician in Florida

Sources for this page

Verify at the official NPI Registry.