# UNIVERSITY MEDICAL SERVICE ASSOCIATION INC

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

## Provider details

- **NPI number:** 1538360425
- **Authorized official:** RENEE M DUBAULT (CEO USF HEALTH)
- **Authorized official phone:** (813) 821-8038

## Contact information

- **Practice address:** 12901 BRUCE B DOWNS BLVD, MDC 62, TAMPA, FL 33612-4742
- **Practice address phone:** (813) 821-8038
- **Mailing address:** PO BOX 917770, ORLANDO, FL 32891-0001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | — | Yes |

## Other

- **Enumeration date:** 05/30/2007
- **Last updated:** 12/10/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00537 | BLUE CROSS BLUE SHIELD | FL |