UNIVERSITY OF SOUTH FLORIDA (NPI# 1487660742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487660742 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF SOUTH FLORIDA |
| Practice Address |
3612 N Arlington Ave Tampa FL 33603-5606 |
| Practice Telephone | 8132215153 |
| Mailing Telephone | 8132215153 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. LEAH ANNE FENNELL (FELLOW) |
| Authorized Official Telephone | 8139742388 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
ME92381 | FL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275956005 | University of South Florida | Physiological Laboratory | 3702 Spectrum Blvd, Suite 165, Tampa, FL 33612-9444 | 2014-01-30 |
| 1598118606 | University of South Florida | Health Maintenance Organization | 4202 E Fowler Ave, Ath100, Tampa, FL 33620-8000 | 2016-07-14 |
| 1235544594 | University of South Florida | Pharmacy | 13330 Usf Laurel Dr., Mdc 52, Tampa, FL 33612 | 2014-06-25 |
| 1659681021 | University of South Florida | Audiologist | 4202 E Fowler Ave Stop PCd1017, Pcd 1017, Tampa, FL 33620-7250 | 2010-10-19 |
| 1093929770 | University of South Florida | Developmental Therapist | 13101 Bruce B Downs Blvd, Tampa, FL 33612-3803 | 2007-05-10 |
| 1417171208 | University of South Florida | Community/Behavioral Health | 3500 E Fletcher Ave, Suite 225, Tampa, FL 33613-4708 | 2007-04-12 |
| 1578601654 | University of South Florida | Clinic/Center | 4202 E Fowler Ave, Shs100, Tampa, FL 33620-6750 | 2007-02-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UNIVERSITY OF SOUTH FLORIDA | 830 1st St Msl 128, Saint Petersburg, FL 33701 |
| Vermont Business Registrations | UNIVERSITY OF SOUTH FLORIDA HEALTH SCIENCES CENTER INS CO IN | 76 St Paul St, Ste 500, Burlington, VT 05401 |
| System for Award Management (SAM) Entities | UNIVERSITY OF SOUTH FLORIDA INSTITUTE OF APPLIED ENGINEERING, INCORPORATED | 4202 E Fowler Ave Stop Enb118, Tampa, FL 33620-5350 |
| Street Address |
3612 N ARLINGTON AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33603-5606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700400959 | Jean V. Dieudonne | Pharmacist | 701 W. Dr Martin Luther King Blvd, Tampa, FL 33603 | 2020-06-03 |
| 1538791082 | Champion Wellness Center of The Heights | Chiropractor | 800 W Martin Luther King Jr Blvd, Suite 3, Tampa, FL 33603 | 2020-02-12 |
| 1700366010 | Marie A Brister Md LLC | Family Medicine | 508 W Dr Martin Luther King Jr Blvd Ste A, Tampa, FL 33603 | 2018-08-16 |
| 1619415197 | Riverside Recovery of Tampa, LLC | Substance Abuse Rehabilitation Facility | 4004 N. Riverside Dr., Tampa, FL 33603 | 2017-02-06 |
| 1306213194 | Jacqueline Dowgiallo | Case Manager/Care Coordinator | 4004 N Riverside Dr, Tampa, FL 33603 | 2015-08-27 |
| 1629487061 | Robin Ann Waters | Social Worker | 1016 W Hillsborough Ave, Tampa, FL 33603 | 2014-08-11 |
| 1831430453 | Cassandra Gonzalez | Social Worker | 1726 W Rio Vista Ave, Tampa, FL 33603 | 2013-03-06 |
| 1487908893 | Spine Injury Physicians LLC | Neurological Surgery | 607 W Martin Luther King Blvd, Suite 1, Tampa, FL 33603 | 2012-11-07 |
| 1861742124 | Joseph Timothy Candelore Jr. | Internal Medicine | 2333 W Hillsborough Ave Ste 160, Tampa, FL 33603 | 2012-09-14 |
| 1679835599 | Odessa Biandudi | Dentist | 825 West Martin Luther King Boulevard, Tampa, FL 33603 | 2012-06-15 |
| Find all providers in zip 33603 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730417 | Aspire Health Partners, Inc. | Clinic/Center | 4520 Oak Fair Blvd, Tampa, FL 33610-7356 | 2020-11-04 |
| 1609473370 | Aj Therapy Center Inc | Clinic/Center | 6800 N Dale Mabry Hwy Ste 150, Tampa, FL 33614-3979 | 2020-10-06 |
| 1265053698 | Eledhel Psychology | Clinic/Center | 611 W Bay St Ste 1h, Tampa, FL 33606-2703 | 2020-04-27 |
| 1336775733 | Life Balance Medical Group LLC | Clinic/Center | 4102 W Linebaugh Ave Ste 101, Tampa, FL 33624-5296 | 2020-03-17 |
| 1104457977 | Lara Health and Wellness Center LLC | Clinic/Center | 3105 W Waters Ave Ste 105, Tampa, FL 33614-2846 | 2020-01-30 |
| 1588204192 | Natalie Rosado | Clinic/Center | 7302 Sheldon Rd, Tampa, FL 33615-2327 | 2020-01-11 |
| 1003477662 | Embracing Changes Center for Wellness | Clinic/Center | 2203 N Lois Ave Ste 903, Tampa, FL 33607-2306 | 2019-06-25 |
| 1508324781 | Breakthrough Counseling Services, LLC | Clinic/Center | 3105 W Azeele St, Tampa, FL 33609-3089 | 2019-03-07 |
| 1013405281 | Crudup Psychological Services LLC | Clinic/Center | 10001 Cross Creek Blvd, Tampa, FL 33647-2581 | 2018-04-24 |
| 1346753134 | Mental Fitness Group, LLC | Clinic/Center | 8875 Hidden River Pkwy Ste 300, Tampa, FL 33637 | 2017-11-15 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.