Organization
UNIVERSITY MEDICAL SERVICE ASSOCIATION INC
Active
Other names
USF Infant Family Mental Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD J SOBIERAY (CFO USF HEALTH)
(813) 821-8038
Entity
Organization
Contact information
Practice address
100 5TH AVE S, ST PETERSBURG, FL 33701-5010
(727) 873-4876
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107955300
—
FL
Enumeration date
08/13/2020
Last updated
02/17/2022
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