Organization
BAYCARE OUTPATIENT IMAGING LLC
Active
Organization
BAYCARE OUTPATIENT IMAGING LLC
Active
Other names
BOI WESLEY CHAPEL
Organization subpart
No
Provider details
NPI number
Authorized official
LYNDA GORKEN (VP PATIENT FINANCIAL SERVICES)
(727) 281-9202
Entity
Organization
Contact information
Practice address
4503 BRUCE B. DOWNS BLVLD., SUITE 104, WESLEY CHAPEL, FL 33544
(813) 586-8500
Mailing address
2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
(727) 281-9065
(813) 635-2613
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101818503
—
FL
Enumeration date
12/14/2021
Last updated
05/24/2024
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