Shriners Hospitals for Children

NPI #1265920417 in Tampa, Florida

Provider Information

NPI Number: 1265920417
Entity Type: Organization
Organization Name: Shriners Hospitals for Children
Primary Specialty: Anesthesiology
Enumeration Date: Apr 24, 2018
Last Updated: Apr 24, 2018

Practice Location

Address: 12502 USF PINE DR
City: Tampa
State: Florida
ZIP Code: 33612-9411
Phone: (813) 972-2250

Authorized Official

Name: JERRY G. GANTT
Title: PRESIDENT
Phone: (813) 281-0300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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