Healthcare Provider Details

I. General information

NPI: 1316531999
Provider Name (Legal Business Name): ST. JOSEPH'S HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2021
Last Update Date: 03/07/2023
Certification Date: 02/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3001 W DR MLK BLVD
TAMPA FL
33607-6307
US

IV. Provider business mailing address

3001 W DR MLK BLVD
TAMPA FL
33607-6307
US

V. Phone/Fax

Practice location:
  • Phone: 813-870-4000
  • Fax: 813-870-4639
Mailing address:
  • Phone: 813-870-4000
  • Fax: 813-870-4639

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: MRS. LYNDA GORKEN
Title or Position: VP, PATIENT FINANCIAL SERVICES
Credential:
Phone: 727-281-9479