Provider Demographics
NPI:1235196510
Name:FLORIDA HEALTH SCIENCES CENTER INC
Entity Type:Organization
Organization Name:FLORIDA HEALTH SCIENCES CENTER INC
Other - Org Name:TAMPA GENERAL HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:COURIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-844-4520
Mailing Address - Street 1:PO BOX 1289
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33601-1289
Mailing Address - Country:US
Mailing Address - Phone:813-844-7000
Mailing Address - Fax:813-844-4595
Practice Address - Street 1:1 TAMPA GENERAL CIRCLE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606
Practice Address - Country:US
Practice Address - Phone:813-844-7000
Practice Address - Fax:813-844-4595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-28
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4044261QE0002X, 261QE0700X, 261QM1300X, 261QP2300X, 273R00000X, 273Y00000X, 282N00000X, 3416A0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care
No261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No273R00000XHospital UnitsPsychiatric Unit
No273Y00000XHospital UnitsRehabilitation Unit
No3416A0800XTransportation ServicesAmbulanceAir Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL102314Medicare Oscar/Certification
FL10T128Medicare Oscar/Certification
FL100128Medicare Oscar/Certification
FL38410OtherBCBS OF FLORIDA
FL41956OtherAMERIGROUP
FL9966OtherAETNA
FL5006911OtherUNITED HEALTHCARE
FL084249400Medicaid
FL010099400Medicaid
FL10T128Medicare Oscar/Certification
FL0128Medicare PIN
FL010099404Medicaid
FL10S128Medicare Oscar/Certification
FL509OtherBLUE CROSS BLUE SHIELD
FL102314Medicare Oscar/Certification
FL20028OtherWELLCARE
FL80007OtherAVMED
FL100128Medicare Oscar/Certification