NPI 1093385452

Baycare Medical Group INC

Organisation Ophthalmology Physician St Petersburg, FL

Practice location

Address: 620 10th St N STE 2c, St Petersburg, FL 33705-1407
Phone: (727) 824-7134
Fax: (727) 724-8329
Mailing address: 2995 Drew St Fl 3, Clearwater, FL 33759-3012

Authorised official

Name: Lynda Gorken
Title: Vp, Pfs
Phone: (727) 281-9202

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X

Other Ophthalmology providers in Florida →

Registry record

NPI: 1093385452
Entity type: Organization
NPI issued: 29 Jun 2021
Record last updated: 29 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.