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TAMPA FAMILY HEALTH CENTER DENTAL VAN
NPI 1639560386
Clinic/Center - Federally Qualified Health Center (FQHC) in Tampa, FL

Active since February 16, 2015CLIA Certified · 2 labs
302 W FLETCHER AVE, TAMPA, FL 33612(813) 397-5305 Get Directions Write a Review

NPPES record last updated: February 16, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tampa Family Health Center Dental Van NPPES

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

TAMPA FAMILY HEALTH CENTER DENTAL VAN (NPI 1639560386) is a healthcare organization registered as a federally qualified health center (fqhc) in Tampa, Florida and active in the NPI registry since February 2015. The organization holds 2 active CLIA laboratory certificates and lists Charles R. Bottoms, Ceo, as its authorized official.

NPPES Registry Identity

NPI1639560386
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameTAMPA FAMILY HEALTH CENTERS, INC.
Location Address302 W FLETCHER AVETampa, FL 33612-3415
Mailing AddressPo Box 82969Tampa, FL 33682-2969 · (813) 866-0930 · Fax (813) 866-0929
Phone(813) 397-5305
Organization SubpartNo
Authorized OfficialCharles R. BottomsCeo · (813) 866-0930
Enumeration DateFebruary 16, 2015
✔ NPI 1639560386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
302 W FLETCHER AVE, Tampa, FL 33612
Open in Google Maps ↗

Other Names 1

Doing Business AsTampa Family Health Center Dental Van

CLIA Laboratory Certificates CMS CLIA 2

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 10D2165588

Tampa Family Health Centers · Tampa, FL
Active · expires Apr 30, 2027
CLIA Number10D2165588
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMay 1, 2025
Certificate Expiration DateApril 30, 2027
Laboratory DirectorDr. Ashley Mcphie
Laboratory Phone(813) 955-1501
Laboratory LocationTampa Family Health Centers12085 W Hillsborough Ave, Tampa, FL 33635
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2271114

Tampa Family Health Center · Tampa, FL
Active · expires Oct 26, 2026
CLIA Number10D2271114
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateOctober 27, 2024
Certificate Expiration DateOctober 26, 2026
Laboratory DirectorAshley Mcphie
Laboratory Phone(813) 460-6002
Laboratory LocationTampa Family Health Center11604 N 15th Street, Tampa, FL 33612
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

JESSICA LYNNE JENNINGS MD
Pediatrics
302 W FLETCHER AVE
TAMPA, FL 33612
Hillsborough County (813) 397-5305
DR. TAWANA JENKINS DDS
Dentist (General Practice)
302 W FLETCHER AVE
TAMPA, FL 33612
Hillsborough County (813) 866-0930
TRENACE DUBREUIL M.D.
Obstetrics & Gynecology
302 W FLETCHER AVE
TAMPA, FL 33612
Hillsborough County (813) 866-0930
NELSON VILLAR ARNP
Nurse Practitioner (Family)
302 W FLETCHER AVE
TAMPA, FL 33612
Hillsborough County (813) 866-0930
MRS. TANEISHA L BATTLES FNP-C
Nurse Practitioner (Family)
302 W FLETCHER AVE
TAMPA, FL 33612
Hillsborough County (813) 866-0930
KATHERINE JOYCE FRANCO PA-C
Physician Assistant
302 W FLETCHER AVE
TAMPA, FL 33612
Hillsborough County (813) 866-0930
MS. KRISTEN ANNE REED MSW., LCSW
Social Worker (Clinical)
302 W FLETCHER AVE
TAMPA, FL 33612
Hillsborough County (813) 866-0930
DR. DAVID LEOPOLDO LOPEZ M.D.
Pediatrics
302 W FLETCHER AVE
TAMPA, FL 33612
Hillsborough County (813) 866-0930

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tampa Family Health Centers, Inc.'s NPI number?

The NPI number for Tampa Family Health Centers, Inc. is 1639560386. It was assigned to this organization in the NPPES registry on February 16, 2015.

Where is Tampa Family Health Centers, Inc. located?

Tampa Family Health Centers, Inc. is located at 302 W Fletcher Ave, Tampa, FL 33612. The listed phone number is (813) 397-5305.

What is Tampa Family Health Centers, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Tampa Family Health Centers, Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Tampa Family Health Centers, Inc. was last updated on February 16, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.