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BAYCARE MEDICAL GROUP INC
NPI 1235708173
Family Medicine in Lakeland, FL

Active since June 24, 2021CLIA 10D1030490 · Waiver
619 MIDFLORIDA DR STE 1, LAKELAND, FL 33813(863) 701-7188(863) 701-2014 Get Directions Write a Review

NPPES record last updated: June 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Baycare Medical Group Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BAYCARE MEDICAL GROUP INC (NPI 1235708173) is a healthcare organization registered as a family medicine in Lakeland, Florida and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through September 7, 2026 and lists Lynda Gorken, Vp, Pfs, as its authorized official.

NPPES Registry Identity

NPI1235708173
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBAYCARE MEDICAL GROUP INC
Location Address619 MIDFLORIDA DR STE 1Lakeland, FL 33813-4916
Mailing Address2995 Drew St Fl 3Clearwater, FL 33759-3012
Phone(863) 701-7188
Fax(863) 701-2014
Organization SubpartNo
Authorized OfficialLynda GorkenVp, Pfs · (727) 281-9202
Enumeration DateJune 24, 2021
NPPES CertifiedJune 24, 2021
✔ NPI 1235708173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
619 MIDFLORIDA DR STE 1, Lakeland, FL 33813
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Other Names 1

Other NameFamily Practice Lakeland

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1030490

Baycare Medical Group · Lakeland, FL
Active · expires Sep 7, 2026
CLIA Number10D1030490
Laboratory TypePhysician Office
Certificate Effective DateSeptember 8, 2024
Certificate Expiration DateSeptember 7, 2026
Laboratory DirectorHaidang Hoang
Laboratory Phone(863) 701-7188
Laboratory LocationBaycare Medical Group619 Midflorida Dr Ste 1, Lakeland, FL 33813
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANN M PHELPS ARNP
Nurse Practitioner
619 MIDFLORIDA DR STE 1
LAKELAND, FL 33813
Polk County (863) 701-7188
DR. ANDREA ANTONIETA HASTINGS M.D.
Family Medicine
619 MIDFLORIDA DR STE 1
LAKELAND, FL 33813
Polk County (863) 701-7188

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Baycare Medical Group Inc's NPI number?

The NPI number for Baycare Medical Group Inc is 1235708173. It was assigned to this organization in the NPPES registry on June 24, 2021. The provider is also known as Family Practice Lakeland.

Where is Baycare Medical Group Inc located?

Baycare Medical Group Inc is located at 619 Midflorida Dr Ste 1, Lakeland, FL 33813. The listed phone number is (863) 701-7188.

What is Baycare Medical Group Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Baycare Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1030490) is associated with this NPI, valid through September 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Baycare Medical Group Inc was last updated on June 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.