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Organization
THE UNIVERSITY OF SOUTH FLORIDA BOARD OF TRUSTEES
Active
Organization
THE UNIVERSITY OF SOUTH FLORIDA BOARD OF TRUSTEES
Active
Parent organization
THE UNIVERSITY OF SOUTH FLORIDA BOT
Other names
USFCollege of Nursing Port of Tampa Seafarers Ctr Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE UNIVERSITY OF SOUTH FLORIDA BOT
Authorized official
DUELLYN PANDIS DNP, APRN, FNP-C (DIRECTOR OF CLINICAL PRACTICE)
(813) 396-0234
Entity
Organization
Contact information
Practice address
1309 SHORELINE AVE, TAMPA, FL 33605
(813) 396-0234
(866) 922-6915
Mailing address
12901 BRUCE B DOWNS BLVD, MDC 22, TAMPA, FL 33612
(813) 396-0234
(866) 922-6915
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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