Healthcare Provider Details

I. General information

NPI: 1427114099
Provider Name (Legal Business Name): JOHNS HOPKINS ALL CHILDREN'S HOSPITAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2006
Last Update Date: 04/22/2022
Certification Date: 04/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 6TH AVE S D#9050
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: 727-898-7451
  • Fax: 727-767-4191
Mailing address:
  • Phone: 727-898-7451
  • Fax: 727-767-4191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC2000X
TaxonomyChildren's Hospital
License Number4042
License Number StateFL

VIII. Authorized Official

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