Organization
BAYCARE OUTPATIENT IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNDA GORKEN (VICE PRESIDENT)
(727) 281-9202
Entity
Organization
Contact information
Practice address
6620 MOCCASIN WALLOW ROAD, SUITE 101, PALMETTO, FL 34221
(941) 981-0015
Mailing address
2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
(727) 315-6974
(813) 635-2613
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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