| NPI | 1275271462 |
|---|---|
| Doing Business As | SHRINERS CHILDREN'S MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JERRY G. GANTT President 813-281-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery |
| 207L00000X Anesthesiology | |
| 207T00000X Neurological Surgery | |
| 207W00000X Ophthalmology | |
| 207Y00000X Otolaryngology | |
| 208000000X Pediatrics | |
| 208100000X Physical Medicine & Rehabilitation | |
| 208200000X Plastic Surgery | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 208600000X Surgery | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2024-03-13 |