| NPI | 1164091138 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2021-06-23 |
| Last Updated | 2021-06-23 |
| Authorized Official | Lynda Gorken VP, PFS Phone: 7272819202 |
| Mailing Address | 2995 Drew St Fl 3 Clearwater, FL 33759-3012 United States Phone: (727) 281-9390 📍 View Map |
| Primary Practice Address | 900 Carillon Pkwy Ste 308 St Petersburg, FL 33716-1120 United States Phone: (727) 561-2600 | Fax: (727) 333-6071 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207R00000X – Internal Medicine | — | — |
| Yes | 207Q00000X – Family Medicine | — | — |
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About NPI 1164091138
Baycare Medical Group Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1164091138. The primary specialty listed is Family Medicine. The organization is located in St Petersburg, FL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2021-06-23. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1164091138?
NPI 1164091138 belongs to Baycare Medical Group Inc, a Family Medicine in St Petersburg, FL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1164091138 active?
The current status of NPI 1164091138 in the NPPES registry is Active. The record was last updated on 2021-06-23.
What specialty is NPI 1164091138?
NPI 1164091138 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1164091138?
You can verify NPI 1164091138 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1164091138?
The primary practice address on file for NPI 1164091138 is 900 Carillon Pkwy Ste 308, St Petersburg, FL 33716-1120. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1164091138 issued?
NPI 1164091138 was first issued (enumerated) on 2021-06-23. The NPPES record was last updated on 2021-06-23.
Practice Location Map
Baycare Medical Group Inc is located at 900 Carillon Pkwy Ste 308, St Petersburg, FL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Baycare Medical Group Inc. All records sourced from the CMS NPPES registry.