NPI | 1013167451 |
---|---|
Doing Business As | TAMPA FAMILY HEALTH CENTER DENTAL VAN |
Entity Type | Organization |
Authorized Contact | SHERRY HOBACK President/CEO 813-866-0930 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2008-09-23 |
Last Update Date | 2023-04-14 |