Organization Active NPI

RFH Tampa LLC

  • Family Medicine Physician
  • Tampa, FL
National Provider Identifier
1033915004
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RFH TAMPA LLC
Practice address
14497 N Dale Mabry Hwy Ste 235-N
Tampa, FL 33618-2047
Phone
(470) 292-3820
NPI assigned
Feb 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Randall L Haupt, MHA
Title
Evp, Strategic Growth Initiatives
Phone
(931) 494-7057

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

14497 N Dale Mabry Hwy Ste 235-N
Tampa, FL 33618-2047

Mailing address

34 Upper Riverdale Rd SE Ste 101
Riverdale, GA 30274-2635
Phone (931) 494-7057

National Provider Directory

National Provider Directory

Locations

14497 N Dale Mabry Hwy
Ste 235N
Tampa, FL 33618
Phone (470) 292-3820

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1033915004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 UPPER RIVERDALE RD SE STE 101",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742635",
            "telephone_number": "931-494-7057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14497 N DALE MABRY HWY STE 235-N",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182047",
            "telephone_number": "470-292-3820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RFH TAMPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A",
        "authorized_official_last_name": "HAUPT",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EVP, STRATEGIC GROWTH INITIATIVES",
        "authorized_official_telephone_number": "931-494-7057",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.