Healthcare Provider Details

I. General information

NPI: 1346158664
Provider Name (Legal Business Name): FLORIDA HEALTH SCIENCES CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

280 PARK AVENUE P.O. BOX 517
BOCA GRANDE FL
33921
US

IV. Provider business mailing address

1 TAMPA GENERAL CIR
TAMPA FL
33606-3571
US

V. Phone/Fax

Practice location:
  • Phone: 941-389-6015
  • Fax: 941-389-6916
Mailing address:
  • Phone: 813-844-7678
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: RAMON HERBERT DOCOBO
Title or Position: DIRECTOR, AMBULATORY PHARMACY SVCS
Credential:
Phone: 813-844-7678