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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
13336C0003XCommunity/Retail Pharmacy

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 : 1619346459
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAYCARE URGENT CARE, LLC
Provider Business Mailing Address
First Line : 2995 DREW ST FL 2
Second Line :
City : CLEARWATER
State : FL
Zip : 33759-3012
Country : US
Telephone Number : 727-281-9390
Fax Number : 813-635-2613
Provider Business Practice Location Address
First Line : 711 S BELCHER RD
Second Line :
City : CLEARWATER
State : FL
Zip : 33764-6326
Country : US
Telephone Number : 727-314-4848
Fax Number : 737-333-6053
Authorized Official
Title or Position : VP, PFS
Name : LYNDA A GORKEN
Credential :
Telephone Number : 727-281-9390
Provider Enumeration Date : 09/23/2015
Last Update Date : 02/12/2020

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Directions to “BAYCARE URGENT CARE, LLC ” Practice Location

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