Organization
SHRINERS HOSPITALS FOR CHILDREN
Active
Other names
Shriners Children's Florida, Shriners Healthcare for Children Professional Services
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY G. GANTT (PRESIDENT)
(813) 281-0300
Entity
Organization
Contact information
Practice address
12502 USF PINE DR, TAMPA, FL 33612-9411
(813) 972-2250
(813) 975-7125
Mailing address
PO BOX 8500 # 7642, PHILADELPHIA, PA 19178-7642
(813) 972-2250
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
—
FL
Other
Enumeration date
01/23/2013
Last updated
06/14/2021
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