| NPI | 1336646587 |
|---|---|
| Doing Business As | TAMPA BAY FAMILY CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARIO JORGE GONZALEZ Owner 813-775-5429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2022-04-14 |