Baycare Medical Group, Inc
Organization Active NPI Pediatrics Physician · Tampa, FL
NPI 1801569835 · NPPES record last updated Jul 27, 2021
Key facts
- NPI
- 1801569835
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- BAYCARE MEDICAL GROUP, INC
- Practice address
- 10330 N Dale Mabry Hwy Ste 190
Tampa, FL 33618-4404 - Phone
- (727) 963-7788
- Fax
- (813) 443-8149
- NPI assigned
- Jul 27, 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 |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | Yes |
Addresses
Primary practice location
10330 N Dale Mabry Hwy Ste 190
Tampa, FL 33618-4404
Mailing address
2995 Drew St FL 3
Clearwater, FL 33759-3012
Other names
- Carrollwood Pediatrics
Other providers in Tampa, FL
- Baycare Medical Group Inc
- Baycare Medical Group Inc
- Baycare Medical Group Inc
- Baycare Medical Group Inc
- Baycare Medical Group Pediatric Walk-in, LLC
- Baycare Occupational Health
- Baycare Outpatient Imaging LLC
- Baycare Outpatient Imaging LLC
- Baycare Urgent Care, LLC
- Baycare Urgent Care, LLC
All providers in Tampa, FL · Pediatrics 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 27, 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.