Healthcare Provider Details

I. General information

NPI: 1669817516
Provider Name (Legal Business Name): EMPATH COMMUNITY HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2013
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6770 102ND AVE N
PINELLAS PARK FL
33782-2909
US

IV. Provider business mailing address

6310 CAPITAL DR
LAKEWOOD RANCH FL
34202-5013
US

V. Phone/Fax

Practice location:
  • Phone: 727-523-2460
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: SAIDA BOUHAMID
Title or Position: CFO
Credential:
Phone: 941-552-7500