Organization
UNIVERSITY MEDICAL SERVICE ASSOCIATION INC
Active
Other names
USF Dept of Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD J SOBIERAY (CFO USF HEALTH)
(813) 821-8038
Entity
Organization
Contact information
Practice address
3515 E FLETCHER AVE, MDC 14, TAMPA, FL 33613-4706
(813) 974-8900
(813) 974-3223
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
133V00000X
Registered Dietitian
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
363L00000X
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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