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NPI Code Detail

MEDICARE: TAMPA FAMILY HEALTH CENTER INC

MEDICARE: TAMPA FAMILY HEALTH 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
11223G0001XGeneral Practice Dentistry

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518631001
Entity Type Code : Organization
Provider Name (Legal Business Name) : TAMPA FAMILY HEALTH CENTER INC
Provider Business Mailing Address
First Line : PO BOX 82969
Second Line :
City : TAMPA
State : FL
Zip : 33682-2969
Country : US
Telephone Number : 813-866-0930
Fax Number : 813-405-3722
Provider Business Practice Location Address
First Line : 6216 E SLIGH AVE
Second Line :
City : TAMPA
State : FL
Zip : 33617-9105
Country : US
Telephone Number : 813-397-5300
Fax Number :
Authorized Official
Title or Position : CFO
Name : WENDY HOEFLICH
Credential :
Telephone Number : 813-599-6188
Provider Enumeration Date : 08/06/2021
Last Update Date : 08/06/2021

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Directions to “TAMPA FAMILY HEALTH CENTER INC ” Practice Location

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