| Tampa Bay Family Clinic | |
|
7206 N Armenia Ave Tampa FL 33604-5201 | |
| (813) 933-2880 | |
| Not Available |
| Full Name | Tampa Bay Family Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 7206 N Armenia Ave, Tampa, Florida |
| Authorized Official Name and Position | Mario Jorge Gonzalez (OWNER) |
| Authorized Official Contact | 8137755429 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tampa Bay Family Clinic 7206 N Armenia Ave Tampa FL 33604-5201 Ph: () - | Tampa Bay Family Clinic 7206 N Armenia Ave Tampa FL 33604-5201 Ph: (813) 933-2880 |
| NPI Number | 1336646587 |
|---|---|
| Provider Enumeration Date | 04/12/2018 |
| Last Update Date | 04/14/2022 |
| Medicare PECOS PAC ID | 2062768419 |
|---|---|
| Medicare Enrollment ID | O20180627003280 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336646587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Mario Jorge Gonzalez Fernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427479310 PECOS PAC ID: 5597055657 Enrollment ID: I20160601001388 |
| Provider Name | Yaraymi Garcia Gonzalez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1184131104 PECOS PAC ID: 9234485681 Enrollment ID: I20180723002055 |
| Provider Name | Angie Layme |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1962982785 PECOS PAC ID: 1759634405 Enrollment ID: I20181025001628 |
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