Organization

St Joseph'S Community Care Inc

Family Medicine Physician in Tampa, FL(View on Map)

Legal Business Name

St Joseph'S Community Care Inc

NPI Number

1174192108

NPI Type

Organization

Enumeration Date

06/23/2021

Specialties

(Taxonomies)

Code

207Q00000X
207R00000X

Primary Taxonomy

Yes
No

Contact
Information

Purpose

Mailing
Location

Address

2995 DREW ST FL 3
1246 RAY CHARLES BLVD

City

Clearwater
Tampa

State

FL
FL

Postal Code

33759-3012
33602-3028

Country

US
US

Telephone Number

(727) 281-9390
(727) 281-9390

Authorized Official

Name

Lynda Gorken

Title or Position

VP, PFS

Telephone Number

(727) 281-9202

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/23/2021

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