ST JOSEPHS HOPSITAL NPI 1457623233

NPI Information

  • NPI: 1457623233
  • Provider Name: ST JOSEPHS HOPSITAL
  • Classification: Nurse Practitioner - 363LN0000X
  • Specialization: Neonatal
  • Entity Type: Organization
  • Other Name: SJN NEONATES
  • Address: 4211 VAN DYKE RD
    LUTZ, FL
    ZIP 33558
  • Phone: (813) 443-2010

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NPI Details

ST JOSEPHS HOPSITAL is a neonatal nurse practitioner in Lutz, FL. ST JOSEPHS HOPSITAL NPI is 1457623233. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Sjn Neonates.

The provider's business location address is:

4211 VAN DYKE RD
LUTZ, FL
ZIP 33558-002
Phone: (813) 443-2010

The provider's authorized official is Lynda Gorken .
The authorized official title is Vp and has the following contact phone number (727) 281-9390.

The enumeration date for this NPI number is 2/8/2012 and was last updated on 3/4/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LN0000XNurse PractitionerNeonatalFLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PENDINGMEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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