# ST JOSEPHS HOPSITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SJN Neonates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457623233
- **Authorized official:** MS. LYNDA GORKEN (VP)
- **Authorized official phone:** (727) 281-9390

## Contact information

- **Practice address:** 4211 VAN DYKE RD, LUTZ, FL 33558-8002
- **Practice address phone:** (813) 443-2010
- **Mailing address:** 2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
- **Mailing address phone:** (727) 281-9390
- **Mailing address fax:** (813) 635-2613

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LN0000X | Neonatal Nurse Practitioner | — | FL | Yes |

## Other

- **Enumeration date:** 02/08/2012
- **Last updated:** 03/04/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | PENDING | — | FL |