Organization
CLUB STAFFING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON HARRIS (NUCLEAR MED TECHNOLOGIST)
(813) 924-6172
Entity
Organization
Contact information
Practice address
13905 FLETCHERS MILL DR, TAMPA, FL 33613-4118
(813) 924-6172
Mailing address
13905 FLETCHERS MILL DR, TAMPA, FL 33613-4118
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
30867
FL
Other
Enumeration date
05/24/2007
Last updated
08/22/2020
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