Baycare Outpatient Imaging LLC
Organization Active NPI Diagnostic Radiology Physician · Palmetto, FL
NPI 1043185259 · NPPES record last updated Oct 7, 2025
Key facts
- NPI
- 1043185259
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- BAYCARE OUTPATIENT IMAGING LLC
- Practice address
- 6620 Moccasin Wallow Road
Suite 101
Palmetto, FL 34221 - Phone
- (941) 981-0015
- NPI assigned
- Oct 7, 2025
- Organization subpart
- No
Authorized official
- Name
- Lynda Gorken
- Title
- Vice President
- Phone
- (727) 281-9202
Corporate family (same tax ID) 8
National Provider Directory
- Tax ID family
- Baycare Outpatient Imaging LLC
Locations
6620 Moccasin Wallow Rd
Ste 101
Palmetto, FL 34221
Phone (941) 981-0015
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician |
2085R0202X | Yes |
Addresses
Primary practice location
6620 Moccasin Wallow Road
Suite 101
Palmetto, FL 34221
Mailing address
2995 Drew St FL 2
Clearwater, FL 33759-3012
Phone (727) 315-6974
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.