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GENERAL SURGERY AT WINTER HAVEN
NPI 1508436544
Surgery in Winter Haven, FL

Active since July 01, 2021CLIA Certified · 2 labs
GASTROENTEROLOGY AT WINTER HAVEN, 199 AVENUE B NW STE 310, WINTER HAVEN, FL 33881(863) 292-4124(863) 229-7568 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 30, 2024, Jul 1, 2021 (2 updates tracked since 2021).

About General Surgery At Winter Haven NPPES

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

GENERAL SURGERY AT WINTER HAVEN (NPI 1508436544) is a healthcare organization registered as a surgery in Winter Haven, Florida and active in the NPI registry since July 2021. The organization holds 2 active CLIA laboratory certificates and lists Lynda Gorken, Vp, Pfs, as its authorized official.

NPPES Registry Identity

NPI1508436544
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameBAYCARE MEDICAL GROUP INC
Location AddressGASTROENTEROLOGY AT WINTER HAVEN, 199 AVENUE B NW STE 310Winter Haven, FL 33881-4546
Mailing Address2995 Drew St Fl 3Clearwater, FL 33759-3012
Phone(863) 292-4124
Fax(863) 229-7568
Organization SubpartNo
Authorized OfficialLynda GorkenVp, Pfs · (727) 281-9202
Enumeration DateJuly 1, 2021
Last NPPES UpdateJuly 30, 20242 updates tracked since enumeration
NPPES CertifiedJuly 20, 2024
✔ NPI 1508436544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

GASTROENTEROLOGY AT WINTER HAVEN, Winter Haven, FL 33881
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Other Names 1

Other NameGeneral Surgery At Winter Haven

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 of Waiver 10D0669042

Baycare Medical Group Inc · Winter Haven, FL
Active · expires Dec 22, 2027
CLIA Number10D0669042
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorTristan Harrison
Laboratory Phone(813) 586-8459
Laboratory LocationBaycare Medical Group Inc635 First Street North, Winter Haven, FL 33881
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 10D0293302

Baycare Medical Group Inc · Winter Haven, FL
Active · expires Aug 31, 2026
CLIA Number10D0293302
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Lisa M. Jardine
Laboratory Phone(863) 298-3338
Laboratory LocationBaycare Medical Group Inc601 First Street North, Winter Haven, FL 33881
CLIA data matches this NPI record on: Name
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.

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 1508436544. It was assigned to this organization in the NPPES registry on July 1, 2021. The provider is also known as General Surgery At Winter Haven.

Where is Baycare Medical Group Inc located?

Baycare Medical Group Inc is located at Gastroenterology At Winter Haven 199 Avenue B NW Ste 310, Winter Haven, FL 33881. The listed phone number is (863) 292-4124.

What is Baycare Medical Group Inc's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Does Baycare Medical Group Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Baycare Medical Group Inc was last updated on July 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.