Organization
SHRINERS HOSPITALS FOR CHILDREN
Active
Other names
Shriners Healthcare for Children Rehabilitation Clinic, Shriners Children's Florida
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY G. GANTT (PRESIDENT)
(813) 281-0300
Entity
Organization
Contact information
Practice address
12502 USF PINE DR, TAMPA, FL 33612-9411
(813) 972-2250
(813) 975-7125
Mailing address
PO BOX 8500 LOCKBOX 7642, PHILADELPHIA, PA 19178-7642
(813) 281-0300
(813) 281-0943
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
06/27/2019
Last updated
06/14/2021
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