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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
1261QC1500XCommunity Health Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861535379
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 : 302 W FLETCHER AVE
Second Line :
City : TAMPA
State : FL
Zip : 33612-3415
Country : US
Telephone Number : 813-866-0930
Fax Number : 813-866-0929
Authorized Official
Title or Position : PRESIDENT/CEO
Name : MRS. SHERRY HOBACK
Credential :
Telephone Number : 813-866-0930
Provider Enumeration Date : 02/14/2007
Last Update Date : 07/17/2023

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Practice Location Address:
302 W FLETCHER AVE
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1881623783 — TRENACE DUBREUIL M.D.
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1376636761 — DR. WILLIAM AUGUSTINE HOLLAND D.C.
Practice Location Address:
302 W FLETCHER AVE
TAMPA, FL
33612-3415
Practice Phone: 585-798-5116
Practice Fax: 585-798-5159
1023245982 — JESSICA LYNNE JENNINGS MD
Practice Location Address:
302 W FLETCHER AVE
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1558687665 — MS. HEIDI A ISON LCSW
Practice Location Address:
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Practice Fax:
1447544010 — TAMPA FAMILY HEALTH CENTERS
Practice Location Address:
302 W FLETCHER AVE
TAMPA, FL
33612-3415
Practice Phone: 813-397-5305
Practice Fax: 813-549-7855

Directions to “TAMPA FAMILY HEALTH CENTERS INC ” Practice Location

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