NPIMap

Organization Active NPI

Tampa Family Health Centers, Inc

Doing business as Tampa Family Health Center 11

  • Federally Qualified Health Center (FQHC)
  • Tampa, FL
National Provider Identifier
1164754701
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
TAMPA FAMILY HEALTH CENTERS, INC
Doing business as
Tampa Family Health Center 11
Practice address
7814 N Dale Mabry Hwy
Tampa, FL 33614-3220
Phone
(813) 866-0930
Fax
(813) 866-0929
NPI assigned
Feb 8, 2010
Last updated
Sep 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Authorized official

Name
Ms. Stacy M Pagan
Title
VP, Revenue Cycle Management
Phone
(813) 730-3268

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary
General Practice Physician 208D00000X NU

Addresses

Primary practice location

7814 N Dale Mabry Hwy
Tampa, FL 33614-3220

Mailing address

PO Box 82969
Tampa, FL 33682-2969
Phone (813) 866-0930

Other identifiers 2

IdentifierTypeStateIssuer
029548518OtherFLMEDICAID FFS #
029548517MedicaidFL

Other names 1

  • Tampa Family Health Center 11 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20101018000826 FL Part A Provider - Federally Qualified Health Center (FQHC) 1254243769 Practice locations: Tampa, FL
O20110105001043 FL Part B Supplier - Clinic/Group Practice 1254243769 Receives reassigned benefits from 171 practitioners
19 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lutz, FL; Tampa, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1164754701. Details of each certification follow.

Federally qualified health center certification: CCN 101059

Legal name
TAMPA FAMILY HEALTH CENTERS INC
Doing business as
TAMPA FAMILY HEALTH CENTERS #11
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 18, 2010
Last certification
Oct 18, 2010
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Feb 8, 1984 in FL
Enrollment address
7814 N Dale Mabry Hwy
Tampa, FL 33614-3220

Other NPIs with the same Medicare PAC ID 13

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 13

Other NPIs on the same Medicare enrollment 19

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 19

National Provider Directory

National Provider Directory

Locations

12085 W Hillsborough Ave
Tampa, FL 33635
Phone (813) 852-5270

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Stephanie Losurdo Individual Corporate DirectorBoard Member Mar 5, 2010
Brian Doster Individual Corporate DirectorBoard Member Mar 5, 2010
Damaris Vieira Individual Corporate DirectorBoard Member Jan 1, 2012
Rodney White Individual Corporate DirectorBoard Member Jan 1, 2013
Sophia Romeus Individual Corporate OfficerBoard Member Sep 24, 2018
Cheryl Howell Individual Corporate OfficerBoard Member Jul 23, 2018
Alfonsa James Individual Corporate OfficerBoard Member Jul 23, 2018
Stacy Pagan Individual 5% Or Greater Direct Ownership InterestCeo Nov 1, 2021 100%
Corporate OfficerCeo Nov 1, 2021
W-2 Managing Employee Nov 1, 2021

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1164754701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82969",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336822969",
            "telephone_number": "813-866-0930",
            "fax_number": "813-866-0929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7814 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143220",
            "telephone_number": "813-866-0930",
            "fax_number": "813-866-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA FAMILY HEALTH CENTERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-08",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "PAGAN",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VP, REVENUE CYCLE MANAGEMENT",
        "authorized_official_telephone_number": "813-730-3268",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID FFS #",
            "identifier": "029548518",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029548517",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tampa Family Health Center 11",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.