Baycare Medical Group Inc
Organization Active NPI Orthopaedic Surgery Physician · Lutz, FL
NPI 1336710029 · NPPES record last updated Jul 5, 2021
Key facts
- NPI
- 1336710029
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- Legal business name
- BAYCARE MEDICAL GROUP INC
- Practice address
- 4211 Van Dyke Rd Ste 200
Lutz, FL 33558-8005 - Phone
- (813) 264-6490
- 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) 24
National Provider Directory
- Tax ID family
- Jeffrey Jsourbeer MD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | Yes |
Addresses
Primary practice location
4211 Van Dyke Rd Ste 200
Lutz, FL 33558-8005
Mailing address
2995 Drew St FL 3
Clearwater, FL 33759-3012
Other names
- Orthopedic Surgery at Van Dyke
Other providers in Lutz, FL
- Bay Area Anesthesia LLC
- Baycare Behavioral Health Associates LLC
- 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
- Baycare Medical Group Inc
All providers in Lutz, FL · Orthopaedic Surgery 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 5, 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.