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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

NPI Number 1235898529
LBN Legal business name BAYCARE OUTPATIENT IMAGING LLC
Authorized official LYNDA GORKEN - (VP PATIENT FINANCIAL SERVICES)
Entity Organization
Organization subpart 1 No
Enumeration date 12/14/2021
Last updated 05/24/2024 - About 2 years ago
Identifiers
FL Medicaid 101818503
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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