Organization
TAMPA FAMILY HEALTH CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CREDENTIALING DEPT (CREDENTIALING MANAGER)
(813) 284-4554
Entity
Organization
Contact information
Practice address
19203 N DALE MABRY HWY, LUTZ, FL 33548-5067
(813) 397-5300
Mailing address
PO BOX 82969, TAMPA, FL 33682-2969
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/04/2022
Last updated
07/16/2024
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