NPI | 1639560386 |
---|---|
Doing Business As | TAMPA FAMILY HEALTH CENTER DENTAL VAN |
Entity Type | Organization |
Authorized Contact | CHARLES R. BOTTOMS CEO 813-866-0930 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2015-02-16 |
Last Update Date | 2015-02-16 |