Provider Demographics
NPI:1720279565
Name:HILLSBOROUGH COUNTY
Entity Type:Organization
Organization Name:HILLSBOROUGH COUNTY
Other - Org Name:HEALTH AND SOCIAL SERVICES SUNSHINE LINE
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:ROGOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-301-7374
Mailing Address - Street 1:601 E KENNEDY BLVD
Mailing Address - Street 2:25TH FLOOR
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602-4156
Mailing Address - Country:US
Mailing Address - Phone:813-301-7374
Mailing Address - Fax:813-276-2865
Practice Address - Street 1:601 E KENNEDY BLVD
Practice Address - Street 2:25TH FLOOR
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33602-4156
Practice Address - Country:US
Practice Address - Phone:813-301-7374
Practice Address - Fax:813-276-2865
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-07
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347B00000XTransportation ServicesBus
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)