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Organization

BAYSHORE PATHOLOGY CONSULTANTS PA

Active
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Organization

BAYSHORE PATHOLOGY CONSULTANTS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. VIRGINIA OQUENDO (CREDENTIALING SPECIALIST)
(941) 315-9955
Entity
Organization

Contact information

Practice address
18338 MURDOCK CIRCLE, PORT CHARLOTTE, FL 33948-1032
(941) 313-9009
(941) 623-9532
Mailing address
18338 MURDOCK CIRCLE, PORT CHARLOTTE, FL 33948-1032
(941) 313-9009
(941) 623-9532

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME70208
FL

Other

Enumeration date
12/06/2013
Last updated
03/06/2023
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