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BAYCARE MEDICAL GROUP INC
NPI 1780254722
Internal Medicine - Rheumatology in Tampa, FL

Active since July 01, 2021CLIA 10D2044123 · Waiver
4612 N HABANA AVE FL 1, TAMPA, FL 33614(813) 840-3526(813) 840-3555 Get Directions Write a Review

NPPES record last updated: July 1, 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 1780254722) is a healthcare organization registered as a rheumatology in Tampa, Florida and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through July 16, 2028 and lists Lynda Gorken, Vp. Pfs, as its authorized official.

NPPES Registry Identity

NPI1780254722
Entity TypeOrganization
Primary Taxonomy207RR0500X
Legal Business NameBAYCARE MEDICAL GROUP INC
Location Address4612 N HABANA AVE FL 1Tampa, FL 33614-7101
Mailing Address2995 Drew St Fl 3Clearwater, FL 33759-3012
Phone(813) 840-3526
Fax(813) 840-3555
Organization SubpartNo
Authorized OfficialLynda GorkenVp. Pfs · (727) 281-9202
Enumeration DateJuly 1, 2021
NPPES CertifiedJuly 1, 2021
✔ NPI 1780254722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal MedicineTaxonomy 207R00000X
4612 N HABANA AVE FL 1, Tampa, FL 33614
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Other Names 1

Other NameHabana Internal Medicine & Rheumatology

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 10D2044123

Baycare Medical Group Inc · Tampa, FL
Active · expires Jul 16, 2028
CLIA Number10D2044123
Laboratory TypePhysician Office
Certificate Effective DateJuly 17, 2026
Certificate Expiration DateJuly 16, 2028
Laboratory DirectorMichael Burnette
Laboratory Phone(813) 840-3526
Laboratory LocationBaycare Medical Group Inc4612 N Habana Ave 1st Fl, Tampa, FL 33614
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. JOEL CHARLES SILVERFIELD MD
Internal Medicine (Rheumatology)
4612 N HABANA AVE FL 1
TAMPA, FL 33614
Hillsborough County (813) 840-3526

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 1780254722. It was assigned to this organization in the NPPES registry on July 1, 2021. The provider is also known as Habana Internal Medicine & Rheumatology.

Where is Baycare Medical Group Inc located?

Baycare Medical Group Inc is located at 4612 N Habana Ave Fl 1, Tampa, FL 33614. The listed phone number is (813) 840-3526.

What is Baycare Medical Group Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Does Baycare Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2044123) is associated with this NPI, valid through July 16, 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 July 1, 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.