PASSPORT HEALTH OF TAMPA BAY
NPI 1932356052
Clinic/Center - Health Service in Tampa, FL

Active since August 20, 2008
4202 W LINEBAUGH AVE, TAMPA, FL 33624(813) 969-3757(813) 969-3052 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 3, 2026, Sep 1, 2020 (2 updates tracked since 2020).

About Passport Health Of Tampa Bay NPPES

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

PASSPORT HEALTH OF TAMPA BAY (NPI 1932356052) is a healthcare organization registered as a health service in Tampa, Florida and active in the NPI registry since August 2008. The organization lists Duellyn Z. Pandis, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1932356052
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NamePASSPORT HEALTH OF TAMPA BAY
Location Address4202 W LINEBAUGH AVETampa, FL 33624-5241
Mailing Address4202 W Linebaugh AveTampa, FL 33624-5241 · (813) 969-3757 · Fax (813) 969-3052
Fax(813) 969-3052
Organization SubpartNo
Authorized OfficialDuellyn Z. PandisClinic Director · (813) 969-3757
Enumeration DateAugust 20, 2008
Last NPPES UpdateJune 3, 20262 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
NPI 1932356052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
License Licensed in FL · RN2855132
4202 W LINEBAUGH AVE, Tampa, FL 33624

Other Providers at the Same Location NPPES 3

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

Clinic/Center (Health Service)
4202 W LINEBAUGH AVE
TAMPA, FL 33624
Clinic/Center (Sleep Disorder Diagnostic)
4202 W LINEBAUGH AVE
TAMPA, FL 33624
Community Health Worker
4202 W LINEBAUGH AVE
TAMPA, FL 33624

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 Passport Health Of Tampa Bay's NPI number?

The NPI number for Passport Health Of Tampa Bay is 1932356052. It was assigned to this organization in the NPPES registry on August 20, 2008.

Where is Passport Health Of Tampa Bay located?

Passport Health Of Tampa Bay is located at 4202 W Linebaugh Ave, Tampa, FL 33624. The listed phone number is (813) 969-3757.

What is Passport Health Of Tampa Bay's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Passport Health Of Tampa Bay was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.