Organization · Type 2 NPI

The University of South Florida Board of Trustees

Family Nurse Practitioner · Tampa, FL

NPI number 1063254290 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

Taxonomy	Code	License
Primary Care Clinic/Center	261QP2300X	None listed
Family Nurse Practitioner Primary	363LF0000X	None listed

Family Nurse Practitioner: Definition to come...

Another provider at this address

University of South Florida Board of TrusteesFamily Nurse Practitioner Tampa, FL NPI 1023864147

Other family nurse practitioner providers in Tampa

See all in Tampa →

NPI record

NPI: 1063254290
Entity type: Organization (Type 2)
Issued: Jun 10, 2024
Last updated: Jun 10, 2024
Status: Active
Subpart: Yes of The University of South Florida Bot

Other names

Usfcollege of Nursing Port of Tampa Seafarers CTR Clinic · doing business as

Authorized official

Duellyn Pandis, DNP, APRN, FNP-C
Director of Clinical Practice
(813) 396-0234

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1063254290

The University of South Florida Board of Trustees's National Provider Identifier is 1063254290, issued on Jun 10, 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 Jun 10, 2024.