Provider Demographics
NPI:1154487965
Name:TAMPA JEWISH FAMILY SERVICES INC
Entity Type:Organization
Organization Name:TAMPA JEWISH FAMILY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BETH ANN
Authorized Official - Middle Name:GEMUNDER
Authorized Official - Last Name:GEMUNDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-960-1849
Mailing Address - Street 1:522 N HOWARD AVENUE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33606
Mailing Address - Country:US
Mailing Address - Phone:813-960-1848
Mailing Address - Fax:813-265-8239
Practice Address - Street 1:522 N HOWARD AVENUE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606
Practice Address - Country:US
Practice Address - Phone:813-960-1848
Practice Address - Fax:813-265-8239
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health