Healthcare Provider Details

I. General information

NPI: 1184376899
Provider Name (Legal Business Name): JOHNS HOPKINS ALL CHILDREN'S HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2022
Last Update Date: 04/21/2022
Certification Date: 04/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

480 7TH AVE S
ST PETERSBURG FL
33701-4839
US

IV. Provider business mailing address

501 6TH AVE S # 7470
ST PETERSBURG FL
33701-4634
US

V. Phone/Fax

Practice location:
  • Phone: 727-767-4403
  • Fax:
Mailing address:
  • Phone: 727-767-4403
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: KRISTY ALICIA SCHULHOF
Title or Position: PRESIDENT
Credential:
Phone: 727-898-7451