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Organization

UNIVERSITY OF SOUTH FLORIDA, BOARD OF TRUSTEES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LINDA PETERSON (CONTROLLER)
(813) 974-6061
Entity
Organization

Contact information

Practice address
12901 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4742
(813) 974-3336
Mailing address
4202 E FOWLER AVE STOP ADM147, TAMPA, FL 33620-8001

Taxonomy

Speciality
Code
Description
License number
State
261QR1100X
Research Clinic/Center
Primary

Other

Enumeration date
12/13/2011
Last updated
12/13/2011
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