Healthcare Provider Details

I. General information

NPI: 1912171992
Provider Name (Legal Business Name): HBC PROFESSIONAL GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2008
Last Update Date: 04/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8019 N HIMES AVE SUITE 403
TAMPA FL
33614-2712
US

IV. Provider business mailing address

8019 N HIMES AVE SUITE 403
TAMPA FL
33614-2712
US

V. Phone/Fax

Practice location:
  • Phone: 813-531-5405
  • Fax:
Mailing address:
  • Phone: 813-531-5405
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateFL

VIII. Authorized Official

Name: DR. ANTHONY ESPOSITO
Title or Position: PRESIDENT
Credential: CH
Phone: 727-433-3465