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Baycare Medical Group Inc

Organization Active NPI Surgery Physician · Bartow, FL

NPI 1508436809 · NPPES record last updated Jun 29, 2021

Key facts

NPI
1508436809
Entity type
Organization (NPI type 2)
Primary specialty
Surgery Physician 208600000X
Legal business name
BAYCARE MEDICAL GROUP INC
Practice address
2000 Osprey Blvd Ste 205
Bartow, FL 33830-4347
Phone
(863) 733-4390
Fax
(863) 229-7550
NPI assigned
Jun 29, 2021
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 24

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

National Provider Directory

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 208600000X Yes

Addresses

Primary practice location

2000 Osprey Blvd Ste 205
Bartow, FL 33830-4347

Mailing address

2995 Drew St FL 3
Clearwater, FL 33759-3012

Other names

  • General & Bariatric Surgery Lakeland Other name

Other providers in Bartow, FL

All providers in Bartow, FL · Surgery Physician in Florida

Sources for this page

Verify at the official NPI Registry.