Graduated: 2015
NPI: 1679962070
Practice Locations (5)
BAYCARE OUTPATIENT IMAGING LLC
18600 FERNVIEW ST, SUITE 101
LAND O LAKES, FL 346386212
8136928010
FLORIDA HOSPITAL PHYSICIAN GROUP INC
13901 BRUCE B DOWNS BLVD
TAMPA, FL 336133905
8136157260
FLORIDA HOSPITAL PHYSICIAN GROUP INC
2600 BRUCE B DOWNS BLVD
WESLEY CHAPEL, FL 335449207
8139295436
FLORIDA HOSPITAL PHYSICIAN GROUP INC
2700 HEALING WAY
WESLEY CHAPEL, FL 335435453
BAYCARE OUTPATIENT IMAGING LLC
4503 BRUCE B DOWNS BLVD, SUITE 104
WESLEY CHAPEL, FL 335449216
8139761026
Source: CMS National Downloadable File, September 2026.