Organization
TAMPA FAMILY HEALTH CENTERS INC
Active
Other names
Tampa Community Health Centers Inc
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES R BOTTOMS (PRESIDENT/CEO)
(813) 866-0930
Entity
Organization
Contact information
Practice address
1514 N FLORIDA AVE, SUITE 300, TAMPA, FL 33602-2602
(813) 866-0930
(813) 866-0929
Mailing address
PO BOX 82969, TAMPA, FL 33682-2969
(813) 866-0930
(813) 866-0929
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
N/A
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029548502
—
FL
05
—
062781004
—
FL
Enumeration date
06/23/2005
Last updated
11/23/2016
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