Healthcare Provider Details

I. General information

NPI: 1528208204
Provider Name (Legal Business Name): JOHNS HOPKINS ALL CHILDREN'S HOSPITAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2009
Last Update Date: 04/21/2022
Certification Date: 04/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 6TH AVE S DEPT. 9525
ST PETERSBURG FL
33701-4634
US

IV. Provider business mailing address

501 6TH AVE S DEPT. 9525
ST PETERSBURG FL
33701-4634
US

V. Phone/Fax

Practice location:
  • Phone: 727-767-8888
  • Fax: 727-767-8521
Mailing address:
  • Phone: 727-767-8888
  • Fax: 727-767-8521

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0700X
TaxonomyEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
License Number4042
License Number StateFL

VIII. Authorized Official

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