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Organization
UNIVERSITY MEDICAL SERVICE ASSOCIATION INC
Active
Organization
UNIVERSITY MEDICAL SERVICE ASSOCIATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE M DUBAULT (CEO USF HEALTH)
(813) 821-8038
Entity
Organization
Contact information
Practice address
12901 BRUCE B DOWNS BLVD, MDC 62, TAMPA, FL 33612-4742
(813) 821-8038
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
207VX0000X
Obstetrics Physician
—
—
207W00000X
Ophthalmology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2085B0100X
Body Imaging Physician
—
—
208600000X
Surgery Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00537
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/30/2007
Last updated
12/10/2025
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