Organization
ALL CHILDREN'S HOSPITAL, INC.
Active
Other names
All Children's Outpatient Care, Tampa
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY ALICIA SCHULHOF (PRESIDENT)
(727) 898-7451
Entity
Organization
Contact information
Practice address
12220 BRUCE B DOWNS BLVD, TAMPA, FL 33612
(813) 631-5006
(813) 631-5094
Mailing address
501 6TH AVE. S., DEPT. 7300, ST. PETERSBURG, FL 33701
(727) 767-8670
(727) 767-8441
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
PH0013837
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103700500
—
FL
01
—
1037005001
MEDICAID DME
FL
01
—
1077470
NABP
—
Enumeration date
09/06/2006
Last updated
04/21/2022
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