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Organization
UNIVERSITY MEDICAL SERVICE ASSOCIATION INC
Active
Organization
UNIVERSITY MEDICAL SERVICE ASSOCIATION INC
Active
Other names
USF Dept Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD J SOBIERAY (CFO USF HEALTH)
(813) 821-8038
Entity
Organization
Contact information
Practice address
17 DAVIS BLVD, 1ST FLOOR, TAMPA, FL 33606-3475
(813) 259-8700
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
133V00000X
Registered Dietitian
—
—
208000000X
Pediatrics Physician
Primary
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
—
—
2080P0205X
Pediatric Endocrinology Physician
—
—
2080P0208X
Pediatric Infectious Diseases Physician
—
—
2080P0214X
Pediatric Pulmonology Physician
—
—
2080P0216X
Pediatric Rheumatology Physician
—
—
231H00000X
Audiologist
—
—
363L00000X
Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00537
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/08/2006
Last updated
02/17/2022
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