Organization
NORTHSIDE HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYMIE WEST (MEDICAL EDUCATION COORDINATOR)
(727) 521-5057
Entity
Organization
Contact information
Practice address
6000 49TH ST N, ST PETERSBURG, FL 33709-2114
(727) 521-5057
Mailing address
6026 OAKHURST DR, SEMINOLE, FL 33772-7026
(931) 265-0190
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
UO3638
FL
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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