Healthcare Provider Details

I. General information

NPI: 1023129087
Provider Name (Legal Business Name): TBIM HOSPITALISTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 07/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 N HABANA AVE SUITE 27
TAMPA FL
33614-7166
US

IV. Provider business mailing address

PO BOX 271489
TAMPA FL
33688-1489
US

V. Phone/Fax

Practice location:
  • Phone: 813-681-0340
  • Fax: 813-961-2565
Mailing address:
  • Phone: 813-890-8004
  • Fax: 813-890-8114

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RAFAEL S RODRIGUEZ
Title or Position: OWNER
Credential: M.D.
Phone: 813-681-0340