NPIMap

Organization Active NPI

Tampa Family Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Tampa, FL
National Provider Identifier
1396891016
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
Practice address
8213 W Waters Ave
Tampa, FL 33615-1822
Phone
(813) 866-0930
Fax
(813) 866-0929
NPI assigned
Jan 26, 2007
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
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

8213 W Waters Ave
Tampa, FL 33615-1822

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
029548514OtherFLMEDICAID FEE FOR SERVICE
029548513MedicaidFL

Other names 1

  • Tampa Community Health Centers, Inc. Former legal business name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080325000040 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 1396891016. Details of each certification follow.

Federally qualified health center certification: CCN 101815

Legal name
TAMPA FAMILY HEALTH CENTERS INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 15, 2008
Last certification
May 15, 2008
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Feb 8, 1984 in FL
Enrollment address
8213 W Waters Ave
Tampa, FL 33615-1822

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

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
James Cole Individual Corporate DirectorBoard Member Sep 24, 2018
Stephanie Losurdo Individual Corporate DirectorBoard of Directors Mar 19, 2008
Brian Doster Individual Corporate DirectorBoard Member Mar 5, 2010
Joseph Giacomo Individual Corporate OfficerCfo Mar 1, 2018
W-2 Managing Employee Mar 1, 2018
Jerry Mason Individual Corporate DirectorBoard of Directors Jan 1, 2013
Damaris Vieira Individual Corporate DirectorBoard Member Jan 1, 2012
Rodney White Individual Corporate DirectorBoard Member Jan 1, 2013
Sherry Hoback Individual Corporate OfficerCeo Mar 1, 2018 100%
W-2 Managing Employee Mar 1, 2018
Terence Beck Individual Corporate OfficerCoo Mar 1, 2018
W-2 Managing Employee Mar 1, 2018
Sophia Romeus Individual Corporate DirectorBoard Member Sep 24, 2018
Cheryl Howell Individual Corporate DirectorBoard Member Jul 23, 2018
Eric Perez Individual Corporate DirectorBoard of Directors Jan 1, 2012
Alfonsa James Individual Corporate DirectorBoard Member Jul 23, 2018

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": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1396891016",
    "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": "8213 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336151822",
            "telephone_number": "813-866-0930",
            "fax_number": "813-866-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA FAMILY HEALTH CENTERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "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": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID FEE FOR SERVICE",
            "identifier": "029548514",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029548513",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tampa Community Health Centers, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.