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) 239-8088
Entity
Organization
Contact information
Practice address
5707 N 22ND STREET, TAMPA, FL 33610-4350
(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
Enumeration date
09/19/2019
Last updated
02/05/2026
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