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Organization
ST. JOSEPH'S COMMUNITY CARE
Active
Organization
ST. JOSEPH'S COMMUNITY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY DORSEY (CORPORATE OFFICE-AUTHORIZED AGENT)
(813) 636-2022
Entity
Organization
Contact information
Practice address
3550 W. WATERS AVENUE, TAMPA, FL 33614-2716
(813) 886-8899
(813) 886-4964
Mailing address
4902 EISENHOWER BLVD, SUITE 300, TAMPA, FL 33634-6344
(813) 636-2000
(813) 886-4964
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/08/2006
Last updated
12/15/2010
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