Provider Demographics
NPI:1073969762
Name:HILLSBOROUGH COUNTY BOARD OF COUNTY COMMISSIONERS
Entity Type:Organization
Organization Name:HILLSBOROUGH COUNTY BOARD OF COUNTY COMMISSIONERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:CONEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-276-8358
Mailing Address - Street 1:601 E KENNEDY BLVD
Mailing Address - Street 2:16TH FL
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602-4156
Mailing Address - Country:US
Mailing Address - Phone:813-276-8358
Mailing Address - Fax:813-272-6862
Practice Address - Street 1:4102 W SPRUCE ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-2331
Practice Address - Country:US
Practice Address - Phone:813-276-8358
Practice Address - Fax:813-272-6862
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PHYLLIS BUSANSKY ADULT DAY CARE CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-05-11
Last Update Date:2016-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health