DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: IBIS HEALTHCARE, INC.

MEDICARE: IBIS HEALTHCARE, 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
13336C0003XCommunity/Retail Pharmacy
23336S0011XSpecialty Pharmacy

General Provider Information

NPI Number : 1952026692
Entity Type Code : Organization
Provider Name (Legal Business Name) : IBIS HEALTHCARE, INC.
Provider Business Mailing Address
First Line : 5707 N 22ND ST
Second Line :
City : TAMPA
State : FL
Zip : 33610-4350
Country : US
Telephone Number : 813-239-8545
Fax Number :
Provider Business Practice Location Address
First Line : 5707 N 22ND ST
Second Line :
City : TAMPA
State : FL
Zip : 33610-4350
Country : US
Telephone Number : 813-239-8545
Fax Number :
Authorized Official
Title or Position : CHIEF OPERATAING OFFICER
Name : JOE LALLANILLA
Credential :
Telephone Number : 813-239-8545
Provider Enumeration Date : 10/05/2022
Last Update Date : 03/05/2026

Similar Medicare Providers

1467307868 — NIKITA WADE
Practice Location Address:
5707 N 22ND ST
TAMPA, FL
33610-4350
Practice Phone: 813-239-8069
Practice Fax:
1346224011 — IBIS HEALTHCARE INC
Practice Location Address:
5707 N. 22ND STREET
TAMPA, FL
33610-4350
Practice Phone: 813-239-8069
Practice Fax: 813-231-7324
1629032073 — STEPHANIE LOCKETT M.D.
Practice Location Address:
5707 N 22ND ST
TAMPA, FL
33610-4350
Practice Phone: 813-272-2244
Practice Fax: 813-272-3766
1831156298 — LATANGRA M MCINTOSH APRN
Practice Location Address:
5707 N 22ND ST
TAMPA, FL
33610-4350
Practice Phone: 813-272-2244
Practice Fax: 813-272-3766
1134141690 — FULVIA RODRIGUEZ CONN MD
Practice Location Address:
5707 N 22ND ST
TAMPA, FL
33610-4350
Practice Phone: 813-272-2244
Practice Fax: 813-272-3766
1407869829 — MARY G SHEEHAN M.D.
Practice Location Address:
5707 N 22ND ST
TAMPA, FL
33610-4350
Practice Phone: 813-272-2244
Practice Fax: 813-272-3766

Directions to “IBIS HEALTHCARE, INC. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.