| St. Joseph's Community Care | |
|
3550 W. Waters Avenue Tampa FL 33614-2716 | |
| (813) 886-8899 | |
| (813) 886-4964 |
| Full Name | St. Joseph's Community Care |
|---|---|
| Speciality | Family Medicine |
| Location | 3550 W. Waters Avenue, Tampa, Florida |
| Authorized Official Name and Position | Sherry Dorsey (CORPORATE OFFICE-AUTHORIZED AGENT) |
| Authorized Official Contact | 8136362022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Joseph's Community Care 4902 Eisenhower Blvd Suite 300 Tampa FL 33634-6344 Ph: (813) 636-2000 | St. Joseph's Community Care 3550 W. Waters Avenue Tampa FL 33614-2716 Ph: (813) 886-8899 |
| NPI Number | 1770532814 |
|---|---|
| Provider Enumeration Date | 05/08/2006 |
| Last Update Date | 12/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770532814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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