10D0862869 CLIA NUMBER - BAYCARE MEDICAL GROUP INC

Laboratory Demographics

CLIA Number: 10D0862869

Facility Name: BAYCARE MEDICAL GROUP INC

Facility Address:
8787 BRYAN DAIRY RD STE 275
LARGO, FL
ZIP 33777
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Facility Phone Number: 727 394-5650

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1629640743

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name	Field Value
CLIA Number	10D0862869
LAB Type	Physician Office
Facility Name	BAYCARE MEDICAL GROUP INC
Street	8787 BRYAN DAIRY RD STE 275
City	LARGO
State	FL
ZIP	33777
Phone	727 394-5650
CertificateType	4
CertificateEffectiveDate	3/16/2023
CertificateExpirationDate	3/15/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024