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NPI Code Detail

MEDICARE: TAMPA FAMILY HEALTH CENTERS, INC.

MEDICARE: TAMPA FAMILY HEALTH CENTERS, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013167451
Entity Type Code : Organization
Provider Name (Legal Business Name) : TAMPA FAMILY HEALTH CENTERS, INC.
Provider Business Mailing Address
First Line : PO BOX 82969
Second Line :
City : TAMPA
State : FL
Zip : 33682-2969
Country : US
Telephone Number : 813-866-0930
Fax Number : 813-866-0929
Provider Business Practice Location Address
First Line : 7814 N DALE MABRY HWY
Second Line :
City : TAMPA
State : FL
Zip : 33614-3220
Country : US
Telephone Number : 813-866-0930
Fax Number : 813-866-0929
Authorized Official
Title or Position : PRESIDENT/CEO
Name : SHERRY HOBACK
Credential :
Telephone Number : 813-866-0930
Provider Enumeration Date : 09/23/2008
Last Update Date : 04/14/2023

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