MEDICARE: FAMILY PHYSICIANS OF TAMPA BAY

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	207Q00000X	Family Medicine Physician		FL

General Provider Information

NPI Number	:	1982607321
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY PHYSICIANS OF TAMPA BAY

Provider Business Mailing Address
First Line	:	5535 MEMORIAL HWY
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33634-7370
Country	:	US
Telephone Number	:	813-901-0705
Fax Number	:	813-888-5097

Provider Business Practice Location Address
First Line	:	5535 MEMORIAL HWY
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33634-7370
Country	:	US
Telephone Number	:	813-901-0705
Fax Number	:	813-888-5097

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. CARI LIMBERG
Credential	:	R.PH.
Telephone Number	:	813-901-0705

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	07/21/2022

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