PALM RIVER COMMUNITY HEALTH CENTER
NPI 1609475466
General Practice in Tampa, FL

Q: What is Suncoast Community Health Center, Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since October 22, 2020CLIA 10D2074927 · Waiver

7728 PALM RIVER RD, TAMPA, FL 33619(813) 630-3600(866) 317-9074 Get Directions Write a Review

NPPES record last updated: November 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 3, 2020, Oct 22, 2020 (2 updates tracked since 2020).

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About Palm River Community Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PALM RIVER COMMUNITY HEALTH CENTER (NPI 1609475466) is a healthcare organization registered as a general practice in Tampa, Florida and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through March 18, 2028 and lists Robert Rodriguez, Cfo, as its authorized official.

NPPES Registry Identity

NPI1609475466

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameSUNCOAST COMMUNITY HEALTH CENTER, INC

Location Address7728 PALM RIVER RDTampa, FL 33619-4215

Mailing Address13110 Elk Mountain DrRiverview, FL 33579-7182 · (813) 349-7588 · Fax (813) 349-7596

Phone(813) 630-3600

Fax(866) 317-9074

Organization SubpartNo

Authorized OfficialRobert RodriguezCfo · (813) 349-7563

Enumeration DateOctober 22, 2020

Last NPPES UpdateNovember 3, 20202 updates tracked since enumeration

NPPES CertifiedNovember 3, 2020

✔ NPI 1609475466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X

7728 PALM RIVER RD, Tampa, FL 33619

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Other Names 1

Doing Business AsPalm River Community Health Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2074927

Palm River Community Health Center · Tampa, FL

Active · expires Mar 18, 2028

CLIA Number10D2074927

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateMarch 19, 2026

Certificate Expiration DateMarch 18, 2028

Laboratory DirectorWilbert C. Jacobs

Laboratory Phone(813) 630-3600

Laboratory LocationPalm River Community Health Center7728 Palm River Rd, Tampa, FL 33619

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUNCOAST COMMUNITY HEALTH CENTERS INC

Pharmacy (Clinic Pharmacy)