Healthcare Provider Details

I. General information

NPI: 1912705104
Provider Name (Legal Business Name): FLORIDA HEALTH SCIENCES CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 TAMPA GENERAL CIR STE MT-110
TAMPA FL
33606-3601
US

IV. Provider business mailing address

5 TAMPA GENERAL CIR STE MT-110
TAMPA FL
33606-3601
US

V. Phone/Fax

Practice location:
  • Phone: 813-844-7688
  • Fax: 813-844-7242
Mailing address:
  • Phone: 813-844-7994
  • Fax: 813-844-1922

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: RAMON HERBERT DOCOBO
Title or Position: DIRECTOR, AMBULATORY PHARMACY
Credential:
Phone: 813-844-7678