Organization
TAMPA FAMILY HEALTH CENTERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA DISQUE (CREDENTIALING MANAGER)
(813) 866-0930
Entity
Organization
Contact information
Practice address
2727 W DR MARTIN LUTHER KING JR BLVD STE 100, TAMPA, FL 33607-6353
(813) 738-9037
Mailing address
PO BOX 82969, TAMPA, FL 33682-2969
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/09/2022
Last updated
02/07/2023
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