NPIMap

Organization Active NPI

Tampa Family Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Tampa, FL
National Provider Identifier
1417953571
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
N/A Issued in FL
Legal business name
TAMPA FAMILY HEALTH CENTERS INC
Practice address
302 W Fletcher Ave
Tampa, FL 33612-3415
Phone
(813) 397-5300
NPI assigned
Jun 23, 2005
Last updated
Jul 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X N/A FL Primary

Addresses

Primary practice location

302 W Fletcher Ave
Tampa, FL 33612-3415

Mailing address

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

Other practice location 1

3450 E Fletcher Ave # 130B
Tampa, FL 33613-4655
Phone (813) 397-5300

Other practice location 2

8108 N Nebraska Ave
Tampa, FL 33604-3103
Phone (813) 397-5300

Other practice location 3

3450 E Fletcher Ave # 130A
Tampa, FL 33613-4655
Phone (813) 397-5300

Other practice location 4

2111 W Swann Ave Ste 102
Tampa, FL 33606-2478
Phone (813) 870-2100

Other practice location 5

12085 W Hillsborough Ave
Tampa, FL 33635-9725
Phone (813) 397-5300

Other practice location 6

8213 W Waters Ave
Tampa, FL 33615-1822
Phone (813) 397-5300

Other practice location 7

6216 E Sligh Ave
Tampa, FL 33617-9105
Phone (813) 397-5300

Other practice location 8

1212 E Bearss Ave
Lutz, FL 33549-3525
Phone (813) 397-5300

Other practice location 9

4620 N 22nd St
Tampa, FL 33610-6205
Phone (813) 397-5300

Other practice location 10

7608 Causeway Blvd
Tampa, FL 33619-5912
Phone (813) 397-5300

Other practice location 11

7814 N Dale Mabry Hwy
Tampa, FL 33614-3220
Phone (813) 397-5300

Other practice location 12

19203 N Dale Mabry Hwy
Lutz, FL 33548-5067
Phone (813) 397-5300

Other practice location 13

2727 W Dr Martin Luther King Jr Blvd Ste 100
Tampa, FL 33607-6353
Phone (813) 397-5300

Other practice location 14

5611 Sheldon Rd
Tampa, FL 33615-3532
Phone (813) 397-5300

Other practice location 15

2808 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6306
Phone (813) 397-5300

Other practice location 16

12410 N Nebraska Ave
Tampa, FL 33612-5352
Phone (813) 866-0930

Other identifiers 2

IdentifierTypeStateIssuer
029548505MedicaidFL
062781005OtherFLMEDICAID FEE FOR SERVICE

Other names 1

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20071004000153 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
O20210719000154 FL Part A Provider - Federally Qualified Health Center (FQHC) 1254243769 Practice locations: Lutz, FL

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1417953571. Details of each certification follow.

Federally qualified health center certification: CCN 101928

Legal name
TAMPA FAMILY HEALTH CENTERS INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 28, 2000
Last certification
Jul 28, 2000
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Feb 8, 1984 in FL
Enrollment address
12410 N Nebraska Ave
Tampa, FL 33612-5352

Federally qualified health center certification: CCN 681900

Legal name
TAMPA FAMILY HEALTH CENTERS INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 19, 2021
Last certification
Jul 19, 2021
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Feb 8, 1984 in FL
Enrollment address
1212 E Bearss Ave
Lutz, FL 33549-3525

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 14

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 OfficerBoard Member Sep 24, 2018
Stephanie Losurdo Individual Corporate DirectorBoard of Directors Mar 11, 2008
Corporate DirectorImmediate Past Chair Mar 5, 2010
Brian Doster Individual Corporate DirectorBoard of Directors Mar 28, 2016
Corporate DirectorBoard Member Mar 28, 2016
Joseph Giacomo Individual Corporate Director Jul 1, 2025
Thomas Vanpelt Individual Corporate Director Jul 1, 2025
5% Or Greater Direct Ownership InterestCoo Jan 1, 2021 100%
Corporate OfficerCoo Jan 1, 2021 100%
Operational/Managerial Control Jan 1, 2021
Jerry Mason Individual Corporate DirectorBoard of Directors Jan 1, 2013
Damaris Vieira Individual Corporate DirectorBoard Member Mar 28, 2016
Rodney White Individual Corporate DirectorBoard of Directors Mar 28, 2016
Corporate DirectorChair Jan 1, 2013
Terence Beck Individual Corporate Director Jul 1, 2025
Sophia Romeus Individual Corporate DirectorBoard Member Sep 24, 2018
Corporate DirectorSecretary Sep 24, 2018
Cheryl Howell Individual Corporate DirectorBoard Member Jul 23, 2018
Eric Perez Individual Corporate DirectorBoard of Directors Jan 1, 2013
Alfonsa James Individual Corporate OfficerBoard Member Jul 23, 2018
Corporate DirectorTreasurer Jul 23, 2018
Stacy Pagan Individual Corporate Director Jul 1, 2025
W-2 Managing EmployeeAd; Jul 1, 2025
Corporate DirectorCeo Jul 21, 2021
W-2 Managing EmployeeCeo Jul 21, 2021

Practitioners & affiliated clinicians

Practitioners 12

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": "1119484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784851200000",
    "number": "1417953571",
    "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": "302 W FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336123415",
            "telephone_number": "813-397-5300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3450 E Fletcher Ave # 130B",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336134655",
            "country_code": "US",
            "telephone_number": "813-397-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8108 N Nebraska Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336043103",
            "country_code": "US",
            "telephone_number": "813-397-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3450 E Fletcher Ave # 130A",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336134655",
            "country_code": "US",
            "telephone_number": "813-397-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2111 W Swann Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336062478",
            "country_code": "US",
            "telephone_number": "813-870-2100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12085 W Hillsborough Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336359725",
            "country_code": "US",
            "telephone_number": "813-397-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8213 W Waters Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336151822",
            "country_code": "US",
            "telephone_number": "813-397-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6216 E Sligh Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336179105",
            "country_code": "US",
            "telephone_number": "813-397-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1212 E Bearss Ave",
            "address_purpose": "LOCATION",
            "city": "Lutz",
            "state": "FL",
            "postal_code": "335493525",
            "country_code": "US",
            "telephone_number": "813-397-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4620 N 22nd St",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336106205",
            "country_code": "US",
            "telephone_number": "813-397-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7608 Causeway Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336195912",
            "country_code": "US",
            "telephone_number": "813-397-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7814 N Dale Mabry Hwy",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336143220",
            "country_code": "US",
            "telephone_number": "813-397-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19203 N Dale Mabry Hwy",
            "address_purpose": "LOCATION",
            "city": "Lutz",
            "state": "FL",
            "postal_code": "335485067",
            "country_code": "US",
            "telephone_number": "813-397-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2727 W Dr Martin Luther King Jr Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336076353",
            "country_code": "US",
            "telephone_number": "813-397-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5611 Sheldon Rd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336153532",
            "country_code": "US",
            "telephone_number": "813-397-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2808 W Dr Martin Luther King Jr Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336076306",
            "country_code": "US",
            "telephone_number": "813-397-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12410 N Nebraska Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336125352",
            "country_code": "US",
            "telephone_number": "813-866-0930",
            "fax_number": "813-866-0929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TAMPA FAMILY HEALTH CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-23",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "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"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "FL",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029548505",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID FEE FOR SERVICE",
            "identifier": "062781005",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tampa Community Health Centers, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "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.