TAMPA FAMILY HEALTH CENTERS, INC. (NPI# 1639560386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639560386 |
Entity Type | Organization |
Organization Name | TAMPA FAMILY HEALTH CENTERS, INC. |
Other Organization Name | TAMPA FAMILY HEALTH CENTER DENTAL VAN |
Practice Address |
302 W Fletcher Ave Tampa FL 33612-3415 |
Mailing Address |
Po Box 82969 Tampa FL 33682-2969 |
Practice Telephone | 8133975305 |
Mailing Telephone | 8138660930 |
Mailing Fax Number | 8138660929 |
Enumeration Date | 2015-02-16 |
Last Update Date | 2015-02-16 |
Authorized Official Name | CHARLES R. BOTTOMS (CEO) |
Authorized Official Telephone | 8138660930 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Tampa Family Health Center Dental Van | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891251336 | Tampa Family Health Centers, Inc. | Clinic/Center | 5 Tampa General Cir Ste 650, Tampa, FL 33606-3659 | 2019-02-20 |
1013167451 | Tampa Family Health Centers, Inc. | Clinic/Center | 7814 N Dale Mabry Hwy, Tampa, FL 33614-3220 | 2008-09-23 |
Street Address |
302 W FLETCHER AVE |
City | TAMPA |
State | FL |
Zip Code | 33612-3415 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942246210 | David Leopoldo Lopez | Pediatrics | 302 W Fletcher Ave, Tampa, FL 33612 | 2006-06-22 |
1285244541 | Ericka Danielle Gray | Dentist | 302 W Fletcher Ave, Tampa, FL 33612-3415 | 2020-08-03 |
1144863069 | America Delgado | Nurse Practitioner | 302 W Fletcher Ave, Tampa, FL 33612-3415 | 2019-10-23 |
1235780537 | Nicolle A Abelow | Nurse Practitioner | 302 W Fletcher Ave, Tampa, FL 33612-3415 | 2019-09-27 |
1336792464 | Diana Gonzalez | Nurse Practitioner | 302 W Fletcher Ave, Tampa, FL 33612-3415 | 2019-07-18 |
1851863872 | Tiara Ross | Nurse Practitioner | 302 W Fletcher Ave, Tampa, FL 33612-3415 | 2019-01-02 |
1861987752 | Simona Ivanov | Dentist | 302 W Fletcher Ave, Tampa, FL 33612 | 2018-06-25 |
1396237400 | Amanda Lape | Nurse Practitioner | 302 W Fletcher Ave, Tampa, FL 33612-3415 | 2018-06-04 |
1558866939 | Jeanie Marie Menendez | Nurse Practitioner | 302 W Fletcher Ave, Tampa, FL 33612-3415 | 2018-03-27 |
1649771239 | Lakeshia Wynn | Nurse Practitioner | 302 W Fletcher Ave, Tampa, FL 33612-3415 | 2018-02-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689286767 | Daniel Jimenez | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 | 2020-08-19 |
1700426830 | Taz Stacy | Behavior Technician | 2701 University Square Drive, Tampa, FL 33612 | 2020-01-07 |
1841853215 | Eric Austen Keeler | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 | 2019-04-20 |
1346700242 | Caitlyn Victoria Cartwright | Student in an Organized Health Care Education/Training Program | 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 | 2019-03-25 |
1720552953 | Marijo Bilitski | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 | 2019-01-22 |
1790259190 | Belkis Aleman | Nurse Practitioner | 205 E Busch Blvd, Tampa, FL 33612 | 2019-01-18 |
1811469133 | Stephanie Stegner | Physician Assistant | 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 | 2018-12-27 |
1053889857 | Alysia Heather Siegel | Psychologist | 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 | 2018-11-09 |
1295202489 | Daisy Baby Pulinilkumkalayil | Nurse Practitioner | 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 | 2018-10-26 |
1649745258 | Rachel Rene Shelton | Specialist/Technologist | Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 | 2018-10-10 |
Find all providers in zip 33612 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831655380 | Tampa Family Health Centers, Inc | Clinic/Center | 12085 W. Hillsborough Ave., Tampa, FL 33625 | 2019-02-20 |
1891251336 | Tampa Family Health Centers, Inc. | Clinic/Center | 5 Tampa General Cir Ste 650, Tampa, FL 33606-3659 | 2019-02-20 |
1952779050 | Tampa Family Health Centers, Inc | Clinic/Center | 3100 E. Fletcher Avenue, Tampa, FL 33610 | 2015-09-04 |
1780978254 | Tampa Family Health Centers Inc | Clinic/Center | 9827 N. Sheldon Rd, Tampa, FL 33635-1051 | 2011-06-02 |
1578857140 | Tampa Family Health Centers Inc | Clinic/Center | 13601 N 22nd St, Tampa, FL 33613-4427 | 2011-06-01 |
1851562367 | Tampa Family Health Centers Inc | Clinic/Center | 6216 Sligh Ave, Tampa, FL 33617-9105 | 2008-03-13 |
1396891016 | Tampa Family Health Centers Inc | Clinic/Center | 8213 W Waters Ave, Tampa, FL 33615-1822 | 2007-01-26 |
1104866870 | Tampa Family Health Centers Inc | Clinic/Center | 2103 N Rome Ave, Tampa, FL 33607-3509 | 2006-06-08 |
1417953571 | Tampa Family Health Centers Inc | Clinic/Center | 1502 E Fowler Ave, Tampa, FL 33612-5416 | 2005-06-23 |
1568468668 | Tampa Family Health Centers Inc | Clinic/Center | 1514 N Florida Ave, Suite 300, Tampa, FL 33602-2602 | 2005-06-23 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.