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HM12010 University Medical Services Association, Inc. (Active)
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Main Details
Name
University Medical Services Association, Inc.
Subdivision Name
USF Comprehensive Hemophilia Treatment Center
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM12010
Grant Number
H30MC24046
Additional Details
Current Program Status
Active
Registration Date
1/1/2000
Participating Start Date
1/1/2000
Participating Approval Date
8/9/2004
Last Recertification Date
2/14/2025
Contacts
Authorizing Official
University Medical Services Association, Inc.
Renee Marie Dubault, Chief Executive Officer
(813) 974-0329
Primary Contact
University of South Florida
Bradley S Fletcher, Professor & Division Chief
(813) 974-3725
Addresses
Street Address
12901 Bruce B. Downs Blvd, MDC 19
TAMPA, FL 33612
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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