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Organization
CMS TAMPA
Active
Organization
CMS TAMPA
Active
Other names
Florida Department Of Health- Childrens Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA B KOPP (PROGRAM ADMINISTRATOR)
(813) 396-9798
Entity
Organization
Contact information
Practice address
13101 N BRUCE B DOWNS BLVD, TAMPA, FL 33612
(813) 396-9798
(813) 396-9795
Mailing address
13101 N BRUCE B DOWNS BLVD, TAMPA, FL 33612
(813) 396-9696
(813) 396-9795
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
FL
Other
Enumeration date
03/09/2006
Last updated
08/22/2020
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