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Contact Information

BAYCARE OUTPATIENT IMAGING LLC
6620 MOCCASIN WALLOW ROAD
SUITE 101
PALMETTO, FL34221
 Phone: 941-981-0015
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for BAYCARE OUTPATIENT IMAGING LLC · (Female)

NPI # 1043185259
Status Active
Credentials
Entity Individual
Enumeration date 10/07/2025
Last updated 10/07/2025 - About 8 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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