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Shriners Hospitals For Children

Clinic/Center in Tampa, FL. Organization (NPI-2).

NPI number1952962011
StatusActive
Last updated in NPPESJun 14, 2021

Details

NPI
1952962011
Entity type
Organization (NPI-2)
Legal business name
Shriners Hospitals For Children
Organization subpart
No
Enumeration date
Jun 27, 2019
Certification date
Jun 14, 2021
Last updated
Jun 14, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes
261QR0400X Clinic/Center, Rehabilitation––

Other names

  • Shriners Children'S Florida (Doing Business As)
  • Shriners Healthcare For Children Rehabilitation Clinic (Other Name)

Practice location

12502 Usf Pine Dr
Tampa, FL 33612-9411

Phone 813-972-2250 · Fax 813-975-7125

Mailing address

Po Box 8500 Lockbox 7642
Philadelphia, PA 19178-7642

Phone 813-281-0300 · Fax 813-281-0943

Authorized official

Jerry G. Gantt
President
8132810300

Is something wrong?

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