Organization
IBIS HEALTHCARE INC
Active
Parent organization
IBIS HEALTHCARE INC
Other names
Gracepoint
Organization subpart
Yes
Provider details
NPI number
Legal business name
IBIS HEALTHCARE INC
Authorized official
ROAYA TYSON (CEO)
(813) 239-8069
Entity
Organization
Contact information
Practice address
13601 BRUCE B DOWNS BLVD. SUITE 131, TAMPA, FL 33613-4610
(813) 239-8069
(813) 231-7324
Mailing address
5707 N 22ND ST, TAMPA, FL 33610-4350
(813) 239-8069
(813) 231-7324
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110069700
—
FL
Enumeration date
09/09/2021
Last updated
02/17/2026
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