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NPI Code Detail

MEDICARE: BAYCARE URGENT CARE, LLC

MEDICARE: BAYCARE URGENT CARE, LLC
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
1208D00000XGeneral Practice Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588230577
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAYCARE URGENT CARE, LLC
Provider Business Mailing Address
First Line : 2995 DREW ST FL 3
Second Line :
City : CLEARWATER
State : FL
Zip : 33759-3012
Country : US
Telephone Number : 727-281-9065
Fax Number :
Provider Business Practice Location Address
First Line : 6909 W WATERS AVE
Second Line :
City : TAMPA
State : FL
Zip : 33634-2213
Country : US
Telephone Number : 813-609-6835
Fax Number :
Authorized Official
Title or Position : VP
Name : LYNDA GORKEN
Credential :
Telephone Number : 727-281-9202
Provider Enumeration Date : 06/01/2021
Last Update Date : 06/01/2021

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Directions to “BAYCARE URGENT CARE, LLC ” Practice Location

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