Provider Demographics
NPI:1457895096
Name:TAMPA OBSTETRICS, PA
Entity Type:Organization
Organization Name:TAMPA OBSTETRICS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANCHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-654-2273
Mailing Address - Street 1:1501 1ST STREET SOUTH
Mailing Address - Street 2:
Mailing Address - City:WINTERHAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33880
Mailing Address - Country:US
Mailing Address - Phone:813-654-2273
Mailing Address - Fax:813-413-8563
Practice Address - Street 1:1501 1ST ST S
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33880-4307
Practice Address - Country:US
Practice Address - Phone:813-654-2273
Practice Address - Fax:813-413-8563
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TAMPA OBSTETRICS,PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-12-16
Last Update Date:2016-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty