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General NPI Number Information
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NPI Number | 1356296743
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Entity Type | Organization
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Legal Business Name | TAMPA FAMILY HEALTH CENTERS INC
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Dates
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Enumeration Date | 03/02/2026
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 2111 W SWANN AVE STE 102
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City | TAMPA
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State | FL
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Zip | 33606-2478
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Country | US
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Telephone | 813-397-5300
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Fax |
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Provider Business Mailing Address
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Address Line | 302 W FLETCHER AVE STE 302
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City | TAMPA
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State | FL
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Zip | 33612-3415
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR, CREDENTIALING & ENROLLMEN
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Name | MARLENA SIMPSON
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Credential |
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Telephone | 813-284-4551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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