BAYCARE MEDICAL GROUP INC
NPI 1770153579
Family Medicine in Palm Harbor, FL

Active since June 25, 2021CLIA 10D0975675 · Waiver
2939 ALT 19, PALM HARBOR, FL 34683(727) 547-8425(813) 635-2699 Get Directions Write a Review

NPPES record last updated: June 25, 2021. Verified against the NPPES registry weekly; last sync: July 26, 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 1770153579) is a healthcare organization registered as a family medicine in Palm Harbor, Florida and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through July 12, 2028 and lists Lynda Gorken, Vp, Pfs, as its authorized official.

NPPES Registry Identity

NPI1770153579
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBAYCARE MEDICAL GROUP INC
Location Address2939 ALT 19Palm Harbor, FL 34683-1928
Mailing Address2995 Drew St Fl 3Clearwater, FL 33759-3012
Fax(813) 635-2699
Organization SubpartNo
Authorized OfficialLynda GorkenVp, Pfs · (727) 281-9202
Enumeration DateJune 25, 2021
NPPES CertifiedJune 25, 2021
NPI 1770153579 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
2939 ALT 19, Palm Harbor, FL 34683

Other Names 1

Other NamePalm Harbor West Family Medicine

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 10D0975675

Baycare Medical Group Inc · Palm Harbor, FL
Active · expires Jul 12, 2028
CLIA Number10D0975675
Laboratory TypePhysician Office
Certificate Effective DateJuly 13, 2026
Certificate Expiration DateJuly 12, 2028
Laboratory DirectorLupita Gallardo
Laboratory Phone(727) 785-2298
Laboratory LocationBaycare Medical Group Inc2939 Alternate 19, Palm Harbor, FL 34683
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 3

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

Family Medicine
2939 ALT 19
PALM HARBOR, FL 34683
Family Medicine
2939 ALT 19
PALM HARBOR, FL 34683
Dentist (General Practice)
2939 ALT 19
PALM HARBOR, FL 34683

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 1770153579. It was assigned to this organization in the NPPES registry on June 25, 2021. The provider is also known as Palm Harbor West Family Medicine.

Where is Baycare Medical Group Inc located?

Baycare Medical Group Inc is located at 2939 Alt 19, Palm Harbor, FL 34683. The listed phone number is (727) 547-8425.

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 10D0975675) is associated with this NPI, valid through July 12, 2028. 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 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.