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Organization
TAMPA FAMILY SPECIALTY SERVICES LLC
Active
Organization
TAMPA FAMILY SPECIALTY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHELSEY L BIBEAU (PROJECT DIRECTOR)
(720) 308-0650
Entity
Organization
Contact information
Practice address
2727 W MLK BLVD STE 100A, TAMPA, FL 33607-6353
(813) 397-5300
Mailing address
2727 W MLK BLVD STE 100A, TAMPA, FL 33607-6353
(813) 397-5300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
11/12/2024
Last updated
11/22/2024
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