Organization
TAMPA FAMILY HEALTH CENTERS INC
Active
Other names
Moblie Medical Van
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERRY HOBACK (PRESIDENT/CEO)
(813) 866-0930
Entity
Organization
Contact information
Practice address
302 W FLETCHER AVE, TAMPA, FL 33612-3415
(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
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
683710700
—
FL
01
—
683710701
MEDICAID FEE FOR SERVICE
FL
Enumeration date
02/14/2007
Last updated
07/17/2023
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