# BAYSHORE PATHOLOGY CONSULTANTS PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700217460
- **Authorized official:** MRS. VIRGINIA OQUENDO (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (941) 315-9955

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | ME70208 | FL | Yes |

## Other

- **Enumeration date:** 12/06/2013
- **Last updated:** 03/06/2023