| NPI | 1275970295 |
|---|---|
| Other Name | SHRINERS HOSPITALS FOR CHILDREN PROFESSIONAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | JERRY G. GANTT President 813-281-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery Pediatric Orthopaedic Surgery |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2022-12-07 |