Passport Health Of Tampa Bay in Tampa - Health Service
Passport Health Of Tampa Bay - NPI 1932356052
Passport Health Of Tampa Bay is a Health Service in Tampa, Florida. Passport Health Of Tampa Bay practices all healthcare services and medical treatments related to Health Service. The NPI Number for Passport Health Of Tampa Bay is 1932356052. The last update date is 2020-09-01.
Passport Health Of Tampa Bay's current location address is 4204 W Linebaugh Ave, Tampa, Florida. You can contact this provider via phone number 8139693757 and fax number 8139693052. The mailing address for Passport Health Of Tampa Bay is 4204 W Linebaugh Ave, Tampa, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Passport Health Of Tampa Bay |
|---|---|
| Address | 4204 W Linebaugh Ave, Tampa, Florida |
| Phone Number | 8139693757 |
| Fax Number | 8139693052 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Pandis Z. Duellyn |
| Credentials | DNP APRN, |
| Telephone Number | 8139693757 |
NPI Number Detail
| NPI Number | 1932356052 |
|---|---|
| Provider Enumeration Date | 2008-08-20 |
| Last Updated Date | 2020-09-01 |
Provider Mailing Address Detail
| Address | 4204 W Linebaugh Ave |
|---|---|
| City | Tampa |
| State | Florida (FL) |
| Post Code | 336245241 |
| Phone Number | 8139693757 |
| Fax Number | 8139693052 |
Provider's Primary Taxonomy Detail
| Speciality | Health Service |
|---|---|
| Taxonomy | 261Qh0100X |
| Licence No | RN2855132 |
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Definition: Provides general outpatient medical care by physicians and other providers. |
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Post Comment/ Review Below
What is the unique identifier code issued to Passport Health Of Tampa Bay by the Centers for Medicare & Medicaid Services?
The Passport Health Of Tampa Bay has been assigned the NPI (National Provider Identifier) 1932356052. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Passport Health Of Tampa Bay is geographically located?
The Passport Health Of Tampa Bay is physically situated at the following location: 4204 W Linebaugh Ave, Tampa, FL, 336245241.
What is the Passport Health Of Tampa Bay's area of specialization and corresponding taxonomy classification?
The Passport Health Of Tampa Bay's specialty field is Health Service, and it falls under the taxonomy code 261Qh0100X, which categorizes healthcare providers based on their specialties.
On what date did Passport Health Of Tampa Bay receive its 1932356052 assignment from the Centers for Medicare & Medicaid Services?
The Passport Health Of Tampa Bay was assigned its 1932356052 on 2008-08-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Passport Health Of Tampa Bay most recently updated?
The details pertaining to the Passport Health Of Tampa Bay, including its address, specialty, and other relevant information, were last refreshed on 2020-09-01.