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BAYCARE MEDICAL GROUP INC
NPI 1255904413
Family Medicine in Winter Haven, FL

Active since July 23, 2021CLIA 10D1000485 · Microscopy
1201 1ST ST S STE 100A, WINTER HAVEN, FL 33880(863) 280-6080(863) 292-4148 Get Directions Write a Review

NPPES record last updated: July 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 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 1255904413) is a healthcare organization registered as a family medicine in Winter Haven, Florida and active in the NPI registry since July 2021. The organization holds a CLIA Microscopy certificate valid through July 31, 2027 and lists Lynda Gorken, Vp, Pfs, as its authorized official.

NPPES Registry Identity

NPI1255904413
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBAYCARE MEDICAL GROUP INC
Location Address1201 1ST ST S STE 100AWinter Haven, FL 33880-3904
Mailing Address2995 Drew St Fl 3Clearwater, FL 33759-3012
Phone(863) 280-6080
Fax(863) 292-4148
Organization SubpartNo
Authorized OfficialLynda GorkenVp, Pfs · (727) 281-9202
Enumeration DateJuly 23, 2021
NPPES CertifiedJune 25, 2021
✔ NPI 1255904413 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
1201 1ST ST S STE 100A, Winter Haven, FL 33880
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Other Names 1

Other NameWinter Haven Family Health Center Ii

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 2

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 for Provider-Performed Microscopy Procedures (PPMP) 10D1000485

Baycare Medical Group, Inc · Winter Haven, FL
Active · expires Jul 31, 2027
CLIA Number10D1000485
Laboratory TypePhysician Office
Certificate Effective DateAugust 1, 2025
Certificate Expiration DateJuly 31, 2027
Laboratory DirectorMarvin Dieujuste
Laboratory Phone(863) 280-6080
Laboratory LocationBaycare Medical Group, Inc1201 1st Street S, Winter Haven, FL 33880
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 10D0689792

Baycare Medical Group Inc · Winter Haven, FL
Expired · Aug 2, 2026
CLIA Number10D0689792
Laboratory TypePhysician Office
Certificate Effective DateAugust 3, 2024
Certificate Expiration DateAugust 2, 2026
Laboratory DirectorRobin A. Baker
Laboratory Phone(727) 315-7446
Laboratory LocationBaycare Medical Group Inc400 Avenue K Suite 11, Winter Haven, FL 33880
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

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

MARVIN CHARLES DIEUJUSTE MD
Family Medicine
1201 1ST ST S STE 100A
WINTER HAVEN, FL 33880
Polk County (863) 280-6080
TAM LINH MINH HUYNH DO
Student in an Organized Health Care Education/Training Program
1201 1ST ST S STE 100A
WINTER HAVEN, FL 33880
Polk County (863) 280-6082
DR. FEISAL HAMAM MD
Student in an Organized Health Care Education/Training Program
1201 1ST ST S STE 100A
WINTER HAVEN, FL 33880
Polk County (863) 280-6080
DR. NATHAN P FALK MD
Family Medicine
1201 1ST ST S STE 100A
WINTER HAVEN, FL 33880
Polk County (863) 280-6080
DR. ASHLEY ROSE WILK D.O.
Family Medicine
1201 1ST ST S STE 100A
WINTER HAVEN, FL 33880
Polk County (863) 280-6080
DR. ASHLEY JESSICA FALK M.D.
Family Medicine
1201 1ST ST S STE 100A
WINTER HAVEN, FL 33880
Polk County (863) 280-6080
DR. SHANNON MARIE SMITH PH.D.
Psychologist
1201 1ST ST S STE 100A
WINTER HAVEN, FL 33880
Polk County (863) 280-6080
KARA LYNN LANPHER MD
Student in an Organized Health Care Education/Training Program
1201 1ST ST S STE 100A
WINTER HAVEN, FL 33880
Polk County (863) 280-6080

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 1255904413. It was assigned to this organization in the NPPES registry on July 23, 2021. The provider is also known as Winter Haven Family Health Center II.

Where is Baycare Medical Group Inc located?

Baycare Medical Group Inc is located at 1201 1st St S Ste 100A, Winter Haven, FL 33880. The listed phone number is (863) 280-6080.

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 for Provider-Performed Microscopy Procedures (PPMP) (number 10D1000485) is associated with this NPI, valid through July 31, 2027. 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 July 23, 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.