Organization Name:  UNIVERSITY MEDICAL SERVICE ASSOCIATION INC


Practice Location:
17 DAVIS BLVD 1ST FLOOR TAMPA, FL 33606 US
Tel: 813-259-8700  Fax: --

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


Taxonomy:

Primary	Code	Category/Description	State	License Number
N	103TC0700X	Behavioral Health & Social Service Providers Psychologist Clinical
N	133V00000X	Dietary & Nutritional Service Providers Dietitian, Registered
N	2080A0000X	Physicians Pediatrics
N	2080N0001X	Physicians Pediatrics
N	2080P0205X	Physicians Pediatrics
N	2080P0208X	Physicians Pediatrics
N	2080P0214X	Physicians Pediatrics
N	2080P0216X	Physicians Pediatrics
N	231H00000X	Speech, Language and Hearing Service Providers Audiologist
N	363L00000X	Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner
N	363LP0200X	Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner
Y	208000000X	Physicians Pediatrics

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