Healthcare Provider Details

I. General information

NPI: 1255675682
Provider Name (Legal Business Name): TAMPA FAMILY HEALTH CENTERS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2012
Last Update Date: 06/14/2024
Certification Date: 06/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7608 CAUSEWAY BLVD
TAMPA FL
33619-5902
US

IV. Provider business mailing address

PO BOX 82969
TAMPA FL
33682-2969
US

V. Phone/Fax

Practice location:
  • Phone: 813-405-3710
  • Fax: 813-866-0929
Mailing address:
  • Phone: 813-866-0930
  • Fax: 813-405-3924

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. SHERRY HOBACK
Title or Position: PRESIDENT/CEO
Credential:
Phone: 813-397-5300