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BAYCARE URGENT CARE, LLC
NPI 1629644869
General Practice in Tampa, FL

Active since May 28, 2021CLIA 10D2085047 · Waiver
11921 N DALE MABRY HWY STE 7, TAMPA, FL 33618(813) 609-3635 Get Directions Write a Review

NPPES record last updated: May 28, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Baycare Urgent Care, Llc NPPES

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

BAYCARE URGENT CARE, LLC (NPI 1629644869) is a healthcare organization registered as a general practice in Tampa, Florida and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through October 6, 2026 and lists Lynda Gorken, Vp, as its authorized official.

NPPES Registry Identity

NPI1629644869
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameBAYCARE URGENT CARE, LLC
Location Address11921 N DALE MABRY HWY STE 7Tampa, FL 33618-3512
Mailing Address2995 Drew St Fl 3Clearwater, FL 33759-3012 · (172) 728-1931
Phone(813) 609-3635
Organization SubpartNo
Authorized OfficialLynda GorkenVp · (727) 281-9202
Enumeration DateMay 28, 2021
NPPES CertifiedMay 28, 2021
✔ NPI 1629644869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
11921 N DALE MABRY HWY STE 7, Tampa, FL 33618
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Other Identifiers 1

MedicaidPENDINGFL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 10D2085047

Baycare Urgent Care · Tampa, FL
Active · expires Oct 6, 2026
CLIA Number10D2085047
Laboratory TypeClinic Center Urgent
Certificate Effective DateOctober 7, 2024
Certificate Expiration DateOctober 6, 2026
Laboratory DirectorNathan K. Waldrep
Laboratory Phone(813) 609-3635
Laboratory LocationBaycare Urgent Care11802 N Dale Mabry Ste 101, Tampa, FL 33618
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only 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 Urgent Care, LLC's NPI number?

The NPI number for Baycare Urgent Care, LLC is 1629644869. It was assigned to this organization in the NPPES registry on May 28, 2021.

Where is Baycare Urgent Care, LLC located?

Baycare Urgent Care, LLC is located at 11921 N Dale Mabry Hwy Ste 7, Tampa, FL 33618. The listed phone number is (813) 609-3635.

What is Baycare Urgent Care, LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Baycare Urgent Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2085047) is associated with this NPI, valid through October 6, 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 Urgent Care, LLC was last updated on May 28, 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.