Provider Demographics
NPI:1851716799
Name:HILLSBOROUGH COUNTY SHERIFF'S OFFICE
Entity Type:Organization
Organization Name:HILLSBOROUGH COUNTY SHERIFF'S OFFICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TONI
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BELISLE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-242-5565
Mailing Address - Street 1:2008 E 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33605-3906
Mailing Address - Country:US
Mailing Address - Phone:813-247-8000
Mailing Address - Fax:
Practice Address - Street 1:9550 E COLUMBUS DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33619-7715
Practice Address - Country:US
Practice Address - Phone:813-242-5565
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-02
Last Update Date:2014-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site