| Baycare Outpatient Imaging | |
|
2102 Trinity Oaks Blvd Trinity FL 34655-4409 | |
| (727) 372-4000 | |
| Not Available |
| Full Name | Baycare Outpatient Imaging |
|---|---|
| Speciality | Radiology - Diagnostic Radiology |
| Location | 2102 Trinity Oaks Blvd, Trinity, Florida |
| Authorized Official Name and Position | Tamblyn Cubero (MANAGER) |
| Authorized Official Contact | 7272819390 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baycare Outpatient Imaging 2995 Drew Street East Bldg 2nd Floor Clearwater FL 33759 Ph: (727) 281-9390 | Baycare Outpatient Imaging 2102 Trinity Oaks Blvd Trinity FL 34655-4409 Ph: (727) 372-4000 |
| NPI Number | 1114315231 |
|---|---|
| Provider Enumeration Date | 12/23/2014 |
| Last Update Date | 01/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114315231 | NPI | - | NPPES |
| 063659203 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | (NU) | Primary |
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