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Contact Information

BAYCARE OUTPATIENT IMAGING LLC
4503 BRUCE B. DOWNS BLVLD.
SUITE 104
WESLEY CHAPEL, FL33544
 Phone: 813-586-8500
 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 # 1235898529
Status Active
Credentials
Entity Individual
Enumeration date 12/14/2021
Last updated 05/24/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL Medicaid 101818503
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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