Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

University of South Florida Board of Trustees

Organization Primary Care Clinic/Center · NPI 1023864147

University of South Florida Board of Trustees is a Primary Care Clinic/Center in Tampa, Florida. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

1309 Shoreline Ave
Tampa, FL 33605
Phone: (813) 396-0234
Fax: (866) 922-6915
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X
Primary Care Clinic/Center Taxonomy 261QP2300X

Record details

NPI number1023864147
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationThe University of South Florida Bot
Authorized official Duellyn Pandis — Director Of Clinical Practice · (813) 396-0234
NPI enumeratedApril 29, 2024
Last updated in NPPESApril 29, 2024
Mailing address12901 Bruce B Downs Blvd, Mdc 22, Tampa, FL 33612

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