# ST. JOSEPH'S HOSPITAL TAMPA CARE CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194042184
- **Authorized official:** MS. MARY F JONES BA (CASE MANAGER)
- **Authorized official phone:** (813) 870-4460

## Contact information

- **Practice address:** 2123 W DR MARTIN LUTHER KING JR BLVD STE 201, TAMPA, FL 33607-6545
- **Practice address phone:** (813) 870-4460
- **Practice address fax:** (813) 870-4459
- **Mailing address:** 2123 W DR MARTIN LUTHER KING JR BLVD STE 201, TAMPA, FL 33607-6545
- **Mailing address phone:** (813) 870-4460
- **Mailing address fax:** (813) 870-4459

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | FL | Yes |

## Other

- **Enumeration date:** 04/29/2010
- **Last updated:** 08/07/2024