MEDICARE: HILLSBOROUGH COUNTY

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	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1548451396
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HILLSBOROUGH COUNTY

Provider Business Mailing Address
First Line	:	601 E KENNEDY BLVD
Second Line	:	25TH FLOOR
City	:	TAMPA
State	:	FL
Zip	:	33602-4156
Country	:	US
Telephone Number	:	813-301-7374
Fax Number	:

Provider Business Practice Location Address
First Line	:	601 E KENNEDY BLVD
Second Line	:	25TH FLOOR
City	:	TAMPA
State	:	FL
Zip	:	33602-4156
Country	:	US
Telephone Number	:	813-301-7374
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. DAVID ROGOFF
Credential	:
Telephone Number	:	813-301-7374

Provider Enumeration Date	:	08/07/2007
Last Update Date	:	08/07/2007

Similar Medicare Providers

1174722920 — HILLSBOROUGH COUNTY DEPARTMENT OF AGING SERVICES
Practice Location Address:

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1720279565 — HILLSBOROUGH COUNTY
Practice Location Address:

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Practice Location Address:

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Practice Fax:

1588519961 — JENNIFER MAY FARLEY M.S., CCC-SLP
Practice Location Address:

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1922081504 — AMERIGROUP FLORIDA, INC.
Practice Location Address:

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1013935618 — TONI ANITA MITCHELL MD
Practice Location Address:

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Directions to “HILLSBOROUGH COUNTY ” Practice Location

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