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
1	207RR0500X	Rheumatology Physician
2	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1356296743
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TAMPA FAMILY HEALTH CENTERS INC

Provider Business Mailing Address
First Line	:	302 W FLETCHER AVE STE 302
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33612-3415
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2111 W SWANN AVE STE 102
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33606-2478
Country	:	US
Telephone Number	:	813-397-5300
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR, CREDENTIALING & ENROLLMEN
Name	:	MARLENA SIMPSON
Credential	:
Telephone Number	:	813-284-4551

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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