Individual
SALLY H HOUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12901 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4742
(813) 974-2201
Mailing address
PO BOX 917770, ORLANDO, FL 32891-7770
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME57650
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109017200
—
FL
01
—
15094
BLUE CROSS BLUE SHIELD
FL
05
—
370448300
—
FL
01
—
NHNKS
BCBS
FL
Enumeration date
08/08/2006
Last updated
11/15/2025
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