# MOMENTUM HEALTH CENTERS OF FLORIDA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Champion Comprehensive Health Centers
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275212318
- **Authorized official:** CARL CONFORTI DC (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (813) 445-6550

## Contact information

- **Practice address:** 4211 W BOY SCOUT BLVD STE 450, TAMPA, FL 33607-5724
- **Practice address phone:** (813) 445-6550
- **Practice address fax:** (813) 445-6505
- **Mailing address:** 4211 W BOY SCOUT BLVD STE 450, TAMPA, FL 33607-5724
- **Mailing address phone:** (813) 445-6550
- **Mailing address fax:** (813) 445-6505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/17/2023
- **Last updated:** 04/25/2024