THE UNIVERSITY OF SOUTH FLORIDA BOARD OF TRUSTEES
NPI 1063254290
Nurse Practitioner - Family in Tampa, FL

Q: What is The University Of South Florida Board Of Trustees's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since June 10, 2024

1309 SHORELINE AVE, TAMPA, FL 33605(813) 396-0234(866) 922-6915 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About The University Of South Florida Board Of Trustees NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE UNIVERSITY OF SOUTH FLORIDA BOARD OF TRUSTEES (NPI 1063254290), doing business as Usfcollege Of Nursing Port Of Tampa Seafarers Ctr Clinic, is a healthcare organization registered as a family in Tampa, Florida and active in the NPI registry since June 2024. The organization lists Duellyn Pandis, Director Of Clinical Practice, as its authorized official.

NPPES Registry Identity

NPI1063254290

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameTHE UNIVERSITY OF SOUTH FLORIDA BOARD OF TRUSTEES

Location Address1309 SHORELINE AVETampa, FL 33605

Mailing Address12901 Bruce B Downs Blvd, Mdc 22Tampa, FL 33612 · (813) 396-0234 · Fax (866) 922-6915

Phone(813) 396-0234

Fax(866) 922-6915

Organization SubpartYesParent: The University Of South Florida Bot

Authorized OfficialDuellyn PandisDirector Of Clinical Practice · (813) 396-0234

Enumeration DateJune 10, 2024

✔ NPI 1063254290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X

1309 SHORELINE AVE, Tampa, FL 33605

Open in Google Maps ↗

Other Names 1

Doing Business AsUsfcollege Of Nursing Port Of Tampa Seafarers Ctr Clinic

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

UNIVERSITY OF SOUTH FLORIDA BOARD OF TRUSTEES

Nurse Practitioner (Family)

1309 SHORELINE AVE
TAMPA, FL 33605

Hillsborough County (813) 396-0234

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The University Of South Florida Board Of Trustees's NPI number?

The NPI number for The University Of South Florida Board Of Trustees is 1063254290. It was assigned to this organization in the NPPES registry on June 10, 2024. The provider is doing business as USFCollege of Nursing Port of Tampa Seafarers Ctr Clinic.

Where is The University Of South Florida Board Of Trustees located?

The University Of South Florida Board Of Trustees is located at 1309 Shoreline Ave, Tampa, FL 33605. The listed phone number is (813) 396-0234.

What is The University Of South Florida Board Of Trustees's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for The University Of South Florida Board Of Trustees was last updated on June 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.