Provider Demographics
NPI:1568485688
Name:HILLSBOROUGH PASCO MEDICAL CLINIC
Entity Type:Organization
Organization Name:HILLSBOROUGH PASCO MEDICAL CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TULSIBHAI
Authorized Official - Middle Name:L
Authorized Official - Last Name:PIPALIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-875-3444
Mailing Address - Street 1:3102 W CYPRESS ST
Mailing Address - Street 2:STE A
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607
Mailing Address - Country:US
Mailing Address - Phone:813-875-3444
Mailing Address - Fax:813-878-2110
Practice Address - Street 1:3102 W CYPRESS ST
Practice Address - Street 2:STE A
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607
Practice Address - Country:US
Practice Address - Phone:813-875-3444
Practice Address - Fax:813-878-2110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty