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St Josephs Specialty Services INC

Surgery in Tampa, FL. Organization (NPI-2).

NPI number1750411237
StatusActive
Last updated in NPPESApr 1, 2008

Details

NPI
1750411237
Entity type
Organization (NPI-2)
Legal business name
St Josephs Specialty Services INC
Organization subpart
No
Enumeration date
Mar 6, 2007
Last updated
Apr 1, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X Surgery––Yes
207VX0201X Obstetrics & Gynecology, Gynecologic Oncology––

Practice location

4902 Eisenhower Blvd
Suite 300
Tampa, FL 33634-6310

Phone 813-636-2000 · Fax 813-286-8835

Mailing address

4902 Eisenhower Blvd
Suite 300
Tampa, FL 33634-6310

Phone 813-636-2000 · Fax 813-286-8835

Authorized official

Sherry D Dorsey
Corporate Secretary Administrator
8136362000

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