Baycare Medical Group Inc
Organization Active NPI Family Medicine Physician · Riverview, FL
NPI 1508439308 · NPPES record last updated Jul 20, 2021
Key facts
- NPI
- 1508439308
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- BAYCARE MEDICAL GROUP INC
- Practice address
- 6901 Simmons Loop FL 4
Riverview, FL 33578-9498 - Phone
- (813) 302-8388
- Fax
- (813) 870-4390
- NPI assigned
- Jul 20, 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 | ||
| Internal Medicine Physician |
207R00000X |
Addresses
Primary practice location
6901 Simmons Loop FL 4
Riverview, FL 33578-9498
Mailing address
2995 Drew St FL 3
Clearwater, FL 33759-3012
Phone (727) 281-9390
Other names
- BMG Hospitalists SJS
Other providers in Riverview, FL
- 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
- Baycare Medical Group Inc
- Baycare Medical Group Inc
All providers in Riverview, 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 20, 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.