MEDICARE: FLORIDA HEALTH SCIENCES CENTER INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2166672	OTHER		PK

General Provider Information

NPI Number	:	1265975957
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORIDA HEALTH SCIENCES CENTER INC

Provider Business Mailing Address
First Line	:	10740 PALM RIVER RD
Second Line	:	SUITE 120
City	:	TAMPA
State	:	FL
Zip	:	33619-4572
Country	:	US
Telephone Number	:	813-660-6500
Fax Number	:	813-660-6679

Provider Business Practice Location Address
First Line	:	10740 PALM RIVER RD
Second Line	:	SUITE 120
City	:	TAMPA
State	:	FL
Zip	:	33619-4572
Country	:	US
Telephone Number	:	813-660-6500
Fax Number	:	813-660-6679

Authorized Official
Title or Position	:	DIRECTOR
Name	:	RAMON HERBERT DOCOBO
Credential	:
Telephone Number	:	813-844-7678

Provider Enumeration Date	:	11/29/2016
Last Update Date	:	12/24/2025

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