Organization Name:  UNIVERSITY MEDICAL SERVICE ASSOCIATION INC


Practice Location:
13330 USF LAUREL DR 6TH FLOOR TAMPA, FL 33612 US
Tel: 813-974-2201  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
N	207K00000X	Physicians Allergy & Immunology
N	207RE0101X	Physicians Internal Medicine
N	207N00000X	Physicians Dermatology
N	207RG0100X	Physicians Internal Medicine
N	207RG0300X	Physicians Internal Medicine
N	207RH0003X	Physicians Internal Medicine
N	207RN0300X	Physicians Internal Medicine
N	207RP1001X	Physicians Internal Medicine
N	207RR0500X	Physicians Internal Medicine
N	363A00000X	Physician Assistants & Advanced Practice Nursing Providers Physician Assistant
N	363L00000X	Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner
Y	207R00000X	Physicians Internal Medicine

Other Provider Identifiers:

Issuer	Number	State	Type
BLUE CROSS BLUE SHIELD	00537	FL	01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin