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Organization

UNIVERSITY OF SOUTH FLORIDA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. YURIY CHULSKIY ATC (SENIOR ASSOCIATE ATHLETIC TRAINER)
(813) 974-6794
Entity
Organization

Contact information

Practice address
4202 E FOWLER AVE, ATH100, TAMPA, FL 33620-8000
(813) 974-6794
(813) 974-8541
Mailing address
4202 E FOWLER AVE, ATH100, TAMPA, FL 33620-8000
(813) 974-6794
(813) 974-8541

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
AL2936
FL

Other

Enumeration date
07/14/2016
Last updated
07/14/2016
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