Organization
ST. JOSEPH'S HOSPITAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNDA A GORKEN (DIRECTOR)
(727) 281-9390
Entity
Organization
Contact information
Practice address
4600 N. HABANA AVENUE, SUITE 15, TAMPA, FL 33614-7123
(813) 870-4460
(813) 870-4459
Mailing address
4600 N. HABANA AVENUE, SUITE 15, TAMPA, FL 33614-7123
(813) 870-4460
(813) 870-4459
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
379468700
—
FL
Enumeration date
01/09/2007
Last updated
03/04/2020
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