MEDICARE: TAMPA FAMILY HEALTH CENTERS

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	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1710823844
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TAMPA FAMILY HEALTH CENTERS

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	:	813-397-5300
Fax Number	:

Provider Business Practice Location Address
First Line	:	8412 N 13TH ST RM 302
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33604-1842
Country	:	US
Telephone Number	:	813-397-5300
Fax Number	:	813-738-9001

Authorized Official
Title or Position	:	VICE PRESIDENT, RCM
Name	:	STACY M PAGAN
Credential	:
Telephone Number	:	813-730-3268

Provider Enumeration Date	:	04/29/2026
Last Update Date	:	04/29/2026

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