# ST. JOSEPH'S COMMUNITY CARE

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

## Provider details

- **NPI number:** 1770532814
- **Authorized official:** SHERRY DORSEY (CORPORATE OFFICE-AUTHORIZED AGENT)
- **Authorized official phone:** (813) 636-2022

## Contact information

- **Practice address:** 3550 W. WATERS AVENUE, TAMPA, FL 33614-2716
- **Practice address phone:** (813) 886-8899
- **Practice address fax:** (813) 886-4964
- **Mailing address:** 4902 EISENHOWER BLVD, SUITE 300, TAMPA, FL 33634-6344
- **Mailing address phone:** (813) 636-2000
- **Mailing address fax:** (813) 886-4964

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/08/2006
- **Last updated:** 12/15/2010