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NPI Code Detail

MEDICARE: GULF COAST JEWISH FAMILY SERVICES

MEDICARE: GULF COAST JEWISH FAMILY SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251T00000XPACE Provider Organization

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710196381
Entity Type Code : Organization
Provider Name (Legal Business Name) : GULF COAST JEWISH FAMILY SERVICES
Provider Business Mailing Address
First Line : 14041 ICOT BLVD
Second Line :
City : CLEARWATER
State : FL
Zip : 33760-3702
Country : US
Telephone Number : 727-450-7269
Fax Number : 727-479-1248
Provider Business Practice Location Address
First Line : 7402 N 56TH ST
Second Line :
City : TAMPA
State : FL
Zip : 33617-7733
Country : US
Telephone Number : 727-450-7269
Fax Number : 727-479-1248
Authorized Official
Title or Position : CFO
Name : CARLA WASHINKO
Credential :
Telephone Number : 727-479-1800
Provider Enumeration Date : 05/21/2007
Last Update Date : 03/14/2011

Similar Medicare Providers

1336243799 — LISA KAY ARMSTRONG LCSW
Practice Location Address:
7402 N 56TH ST , SUITE 801
TAMPA, FL
33617-7733
Practice Phone: 813-997-5643
Practice Fax:
1811042187 — MS. KATHARINE COFFIN HULSE M.ED., ITDS
Practice Location Address:
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1629124730 — MRS. PAMELA RUTHANN TETLOW ARNP
Practice Location Address:
7402 N 56TH ST , 906
TAMPA, FL
33617-7733
Practice Phone: 727-536-4119
Practice Fax: 727-538-5529
1992844963 — MRS. MARY ANN HAND R.N.
Practice Location Address:
7402 N 56TH ST , SUITE 906
TAMPA, FL
33617-7733
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Practice Fax: 813-814-0403
1629196092 — MS. DOLORES ANN DOWDALL R.N.
Practice Location Address:
7402 N 56TH ST , SUITE 906
TAMPA, FL
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Practice Fax:
1487844759 — MS. JAN K MISKEL LMHC,CAP
Practice Location Address:
7402 N 56TH ST , BLDG 600
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Practice Phone: 813-984-0909
Practice Fax: 813-984-8374

Directions to “GULF COAST JEWISH FAMILY SERVICES ” Practice Location

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