NPI:
1104866870
Provider Name:
TAMPA FAMILY HEALTH CENTERS INC
Former Legal Business Name: TAMPA COMMUNITY HEALTH CENTERS, INC.
Classification:
Clinic/Center - 261QF0400X
Entity Type:
Organization
Specialization: Federally Qualified Health Center (FQHC)
CLIA Number: 10D2039919
Address:
2808 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL
ZIP 33607
Phone:
(813) 490-1426
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TAMPA FAMILY HEALTH CENTERS INC is a federally qualified health center (fqhc) clinic center in Tampa, FL. TAMPA FAMILY HEALTH CENTERS INC NPI is 1104866870. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Tampa Community Health Centers, Inc..
The provider's business location address is:
2808 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL
ZIP 33607-306
Phone: (813) 490-1426
Fax: (813) 866-0929
The provider's authorized official is Sherry Hoback .
The authorized official title is Ceo, President and has the following contact phone number (813) 866-0930.
The CLIA number assigned to this NPI record is 10D2039919 - federally qualified health center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/8/2006 and was last updated on 4/14/2023.