Organization
TAMPA FAMILY HEALTH CENTERS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES BOTTOMS (CEO/PRESIDENT)
(813) 866-0930
Entity
Organization
Contact information
Practice address
5707 N 22ND ST, TAMPA, FL 33610-4350
(813) 238-8533
(813) 549-7853
Mailing address
PO BOX 82969, TAMPA, FL 33682-2969
(813) 866-0930
(813) 866-0930
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029548505
—
FL
Enumeration date
10/14/2015
Last updated
10/30/2015
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