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Organization

UNIVERSITY OF SOUTH FLORIDA

Active
Other names
USF Child Development
Organization subpart
No

Provider details

NPI number
Authorized official
BRENDA L HAM (PROGRAM ADMINISTRATOR)
(813) 974-0601
Entity
Organization

Contact information

Practice address
13101 BRUCE B DOWNS BLVD, TAMPA, FL 33612-3803
(813) 974-0601
(813) 558-1340
Mailing address
13101 BRUCE B DOWNS BLVD, TAMPA, FL 33612-3803
(813) 974-0601
(813) 558-1340

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary

Other

Enumeration date
05/10/2007
Last updated
08/12/2008
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