MEDICARE: BAYCARE MEDICAL GROUP INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician
2	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1306419643
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAYCARE MEDICAL GROUP INC

Provider Business Mailing Address
First Line	:	2995 DREW ST FL 3
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33759-3012
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12780 RACE TRACK RD STE 300
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33626-1306
Country	:	US
Telephone Number	:	813-792-9541
Fax Number	:	813-443-8170

Authorized Official
Title or Position	:	VP, PFS
Name	:	LYNDA GORKEN
Credential	:
Telephone Number	:	727-281-9202

Provider Enumeration Date	:	07/23/2021
Last Update Date	:	07/23/2021

Similar Medicare Providers

1902033905 — DR. ILEANA M ACEVEDO MD
Practice Location Address:

12780 RACE TRACK RD STE 300
TAMPA, FL
33626-1306

Practice Phone: 813-792-9541
Practice Fax: 813-443-8170

1184651838 — DR. CHRISTOPHER J. PURCELL M.D.
Practice Location Address:

12780 RACE TRACK RD STE 300
TAMPA, FL
33626-1306

Practice Phone: 813-792-9541
Practice Fax: 813-443-8170

1811520083 — JILLIAN GINNETTI PA-C
Practice Location Address:

12780 RACE TRACK RD STE 300
TAMPA, FL
33626-1306

Practice Phone: 813-792-9541
Practice Fax: 813-443-8170

1629209515 — MS. LATIVIA DEANNA JOHNSON
Practice Location Address:

1306 E ANNIE ST , APT A
TAMPA, FL
33612-8746

Practice Phone: 863-440-2662
Practice Fax: 813-982-2039

1669781258 — SENIORS IN SERVICE OF TAMPA BAY, INC.
Practice Location Address:

1306 W. SLIGH AVENUE
TAMPA, FL
33604-5902

Practice Phone: 813-932-5228
Practice Fax: 813-932-9604

1306347729 — APRIL MARIE SYX
Practice Location Address:

15501 BRUCE B DOWNS BLVD APT 1109
TAMPA, FL
33647-1306

Practice Phone: 813-325-4717
Practice Fax:

Directions to “BAYCARE MEDICAL GROUP INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.