BAYCARE OUTPATIENT IMAGING LLC NPI 1417423377

NPI Information

NPI: 1417423377
Provider Name: BAYCARE OUTPATIENT IMAGING LLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
2470 BLOOMINGDALE AVE STE 115
VALRICO, FL
ZIP 33596
Phone: (727) 281-9479
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BAYCARE OUTPATIENT IMAGING LLC is a diagnostic radiology radiology in Valrico, FL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. BAYCARE OUTPATIENT IMAGING LLC NPI is 1417423377. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2470 BLOOMINGDALE AVE STE 115
VALRICO, FL
ZIP 33596-403
Phone: (727) 281-9479
Fax: (813) 586-8516

The provider's authorized official is Lynda A Gorken .
The authorized official title is Vp, Pfs and has the following contact phone number (727) 281-9065.

The enumeration date for this NPI number is 10/18/2018 and was last updated on 4/19/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology			Yes
2	261QR0200X	Clinic/Center	Radiology			No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	101818500	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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