1699836205 NPI number — FLORIDA HEALTH SCIENCES CENTER INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699836205 NPI number — FLORIDA HEALTH SCIENCES CENTER INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FLORIDA HEALTH SCIENCES CENTER INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
TAMPA GENERAL HOSPITAL OUTPATIENT PHARMACY
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1699836205
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/02/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5 TAMPA GENERAL CIR
Provider Second Line Business Mailing Address:
HMT 100
Provider Business Mailing Address City Name:
TAMPA
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33606-3601
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
813-844-7096
Provider Business Mailing Address Fax Number:
813-844-7242

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5 TAMPA GENERAL CIR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TAMPA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33606-3601
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
813-844-7688
Provider Business Practice Location Address Fax Number:
813-844-7242
Provider Enumeration Date:
12/13/2006

Additional Information

Authorized Official

Authorized Official Last Name:
GIFT
Authorized Official First Name:
MAJA
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR OF PHARMACY/AO
Authorized Official Telephone Number:
813-844-4177

Provider Taxonomy Codes

  • Taxonomy code: 333600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0003X , with the licence number: PH15628 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2010261 . This is a "PK" identifier . This identifiers is of the category "OTHER".
  • Identifier: 028467000 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com