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Organization
UNIVERSITY OF SOUTH FLORIDA
Active
Organization
UNIVERSITY OF SOUTH FLORIDA
Active
Other names
USF Child Development
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA L HAM (PROGRAM ADMINISTRATOR)
(813) 974-0601
Entity
Organization
Contact information
Practice address
13101 BRUCE B DOWNS BLVD, TAMPA, FL 33612-3803
(813) 974-0601
(813) 558-1340
Mailing address
13101 BRUCE B DOWNS BLVD, TAMPA, FL 33612-3803
(813) 974-0601
(813) 558-1340
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/10/2007
Last updated
08/12/2008
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