# TAMPA FAMILY SPECIALTY SERVICES LLC

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

## Provider details

- **NPI number:** 1134943657
- **Authorized official:** CHELSEY L BIBEAU (PROJECT DIRECTOR)
- **Authorized official phone:** (720) 308-0650

## Contact information

- **Practice address:** 2727 W MLK BLVD STE 100A, TAMPA, FL 33607-6353
- **Practice address phone:** (813) 397-5300
- **Mailing address:** 2727 W MLK BLVD STE 100A, TAMPA, FL 33607-6353
- **Mailing address phone:** (813) 397-5300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 11/12/2024
- **Last updated:** 11/22/2024