NPI | 1164754701 |
---|---|
Doing Business As | TAMPA FAMILY HEALTH CENTER 11 |
Entity Type | Organization |
Authorized Contact | CHARLES R. BOTTOMS President/CEO 813-866-0930 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2010-02-08 |
Last Update Date | 2016-11-18 |