Baycare Urgent Care, LLC
Organization Active NPI Community/Retail Pharmacy · Haines City, FL
NPI 1487196440 · NPPES record last updated Jan 7, 2019
Key facts
- NPI
- 1487196440
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- ME58834 (FL)
- Legal business name
- BAYCARE URGENT CARE, LLC
- Practice address
- 36245 Hwy 27
Haines City, FL 33844-3744 - Phone
- (863) 866-9933
- Fax
- (863) 229-7556
- NPI assigned
- Nov 8, 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 | FL | Yes |
Addresses
Primary practice location
36245 Hwy 27
Haines City, FL 33844-3744
Mailing address
2995 Drew Street
East BLDG 2ND Floor
Clearwater, FL 33759
Phone (727) 281-9390
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 274807000 | Medicaid | FL |
Other providers in Haines City, FL
- Guillermo Ayala
- John Ashraf Aziz
- Nadia Colemess Baker
- Peter Bradley Bassett
- Baycare Medical Group Inc
- Baycare Urgent Care, LLC
- Beautiful Smiles PLLC
- Behavioral Wellness
- Behavioral Wellness Inc.
- Yvanne Belanston
All providers in Haines City, 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.