Organization
SHRINERS HOSPITALS FOR CHILDREN
Active
Other names
Shriners Healthcare for Children - Florida
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
Mailing address
PO BOX 8500 LOCKBOX #7642, PHILADELPHIA, PA 19178-7642
(813) 281-0300
(813) 281-0943
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
05/17/2019
Last updated
07/31/2019
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