Healthcare Provider Details

I. General information

NPI: 1568503985
Provider Name (Legal Business Name): TAMPA FAMILY HEALTH CENTERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2007
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12410 N NEBRASKA AVE
TAMPA FL
33612-5352
US

IV. Provider business mailing address

P.O. BOX 82969
TAMPA FL
33682
US

V. Phone/Fax

Practice location:
  • Phone: 813-866-0950
  • Fax: 813-866-0376
Mailing address:
  • Phone: 813-866-0930
  • Fax: 813-866-0929

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH21096
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: SHERRY HOBACK
Title or Position: PRESIDENT/CEO
Credential:
Phone: 813-866-0930