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BAYCARE MEDICAL GROUP INC NPI 1780254722


NPI Information

NPI: 1780254722
Provider Name: BAYCARE MEDICAL GROUP INC
Classification: Internal Medicine - 207RR0500X
Entity Type: Organization

Specialization: Rheumatology

CLIA Number: 10D2044123

Address:
4612 N HABANA AVE FL 1
TAMPA, FL
ZIP 33614
Phone: (813) 840-3526
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BAYCARE MEDICAL GROUP INC is a rheumatology internal medicine in Tampa, FL. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. BAYCARE MEDICAL GROUP INC NPI is 1780254722. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4612 N HABANA AVE FL 1
TAMPA, FL
ZIP 33614-101
Phone: (813) 840-3526
Fax: (813) 840-3555

The provider's authorized official is Lynda Gorken .
The authorized official title is Vp. Pfs and has the following contact phone number (727) 281-9202.

The CLIA number assigned to this NPI record is 10D2044123 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/1/2021 and was last updated on 7/1/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2207RR0500XInternal MedicineRheumatologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.