Organization
TAMPA FAMILY HEALTH CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY HOBACK (CEO)
(813) 866-0930
Entity
Organization
Contact information
Practice address
4620 N 22ND ST, TAMPA, FL 33610-6205
(813) 397-5300
(813) 738-9034
Mailing address
PO BOX 82969, TAMPA, FL 33682-2969
(813) 866-0930
(813) 405-3722
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029548504
—
FL
Enumeration date
06/07/2021
Last updated
12/02/2024
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