# MAGNANIMITY RESOURCE HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003674292
- **Authorized official:** MRS. ERICA CLIPPS APRN, FNP-BC (PROVIDER)
- **Authorized official phone:** (813) 317-1787

## Contact information

- **Practice address:** 5401 W KENNEDY BLVD STE 100, TAMPA, FL 33609-2457
- **Practice address phone:** (813) 317-1787
- **Practice address fax:** (813) 762-1471
- **Mailing address:** 5401 W KENNEDY BLVD STE 100, TAMPA, FL 33609-2457
- **Mailing address phone:** (813) 317-1787

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/12/2024
- **Last updated:** 03/07/2025
