Provider Demographics
NPI:1215014477
Name:TAMPA HEALTH CARE PROVIDERS, P.A.
Entity Type:Organization
Organization Name:TAMPA HEALTH CARE PROVIDERS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TAE
Authorized Official - Middle Name:J
Authorized Official - Last Name:NOH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-920-2400
Mailing Address - Street 1:8495 W LINEBAUGH AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33625-3729
Mailing Address - Country:US
Mailing Address - Phone:813-920-2400
Mailing Address - Fax:813-792-0001
Practice Address - Street 1:8495 W LINEBAUGH AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33625-3729
Practice Address - Country:US
Practice Address - Phone:813-920-2400
Practice Address - Fax:813-792-0001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2012-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty