Healthcare Provider Details

I. General information

NPI: 1477538882
Provider Name (Legal Business Name): HILLSBOROUGH COUNTY HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2005
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1105 E KENNEDY BLVD
TAMPA FL
33602-3511
US

IV. Provider business mailing address

1105 E KENNEDY BLVD
TAMPA FL
33602-3511
US

V. Phone/Fax

Practice location:
  • Phone: 813-307-8072
  • Fax: 813-272-7240
Mailing address:
  • Phone: 813-307-8072
  • Fax: 813-272-7240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License NumberPH 10980
License Number StateFL

VIII. Authorized Official

Name: DR. LESLIE GIGLIO BETTS
Title or Position: PHARMACY MANAGER
Credential: PHARMD
Phone: 813-307-8072