Organization
ST JOSEPHS SPECIALTY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY D DORSEY (CORPORATE SECRETARY ADMINISTRATOR)
(813) 636-2000
Entity
Organization
Contact information
Practice address
4902 EISENHOWER BLVD, SUITE 300, TAMPA, FL 33634-6310
(813) 636-2000
(813) 286-8835
Mailing address
4902 EISENHOWER BLVD, SUITE 300, TAMPA, FL 33634-6310
(813) 636-2000
(813) 286-8835
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
—
—
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
03/06/2007
Last updated
04/01/2008
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