Organization · Type 2 NPI

University of South Florida Board of Trustees

Family Nurse Practitioner · Tampa, FL

NPI number 1023864147 Active

Practice location

1309 Shoreline Ave
Tampa, FL 33605

Call (813) 396-0234 Map

Fax (866) 922-6915

Mailing address

12901 Bruce B Downs Blvd, Mdc 22
Tampa, FL 33612

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center 261QP2300XNone listed
Family Nurse Practitioner Primary 363LF0000XNone listed

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About NPI 1023864147

University of South Florida Board of Trustees's National Provider Identifier is 1023864147, issued on Apr 29, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Tampa, FL. The record was last updated on Apr 29, 2024.