# FAMILY MEDICAL CENTERS OF TAMPA BAY PA

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

## Provider details

- **NPI number:** 1922046846
- **Authorized official:** DR. ALAN J IEZZI M.D. (PRESIDENT)
- **Authorized official phone:** (813) 963-3124

## Contact information

- **Practice address:** 15511 N FLORIDA AVE, SUITE 401, TAMPA, FL 33613-1220
- **Practice address phone:** (813) 963-3124
- **Practice address fax:** (813) 269-7945
- **Mailing address:** 15511 N FLORIDA AVE, SUITE D, TAMPA, FL 33613-1263
- **Mailing address phone:** (813) 963-3124
- **Mailing address fax:** (813) 269-7945

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0046451 | FL | Yes |

## Other

- **Enumeration date:** 06/03/2006
- **Last updated:** 06/01/2011
