Organization Active NPI

M & H Hillsborough Center

  • General Practice Physician
  • Tampa, FL
National Provider Identifier
1437377041
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
M & H HILLSBOROUGH CENTER
Practice address
720 E Fletcher Ave
Suite 205
Tampa, FL 33612-2616
Phone
(813) 579-7807
Fax
(813) 979-8683
NPI assigned
Apr 22, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Martha Dulce Pena Dominguez
Title
Director
Phone
(813) 579-7807

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

720 E Fletcher Ave
Suite 205
Tampa, FL 33612-2616

Mailing address

720 E Fletcher Ave
Suite 205
Tampa, FL 33612-2616
Phone (813) 579-7807

National Provider Directory

National Provider Directory

Locations

720 E Fletcher Ave
Ste 205
Tampa, FL 33612
Phone (813) 579-7807

Practitioners & affiliated clinicians

Practitioners 1

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": "1177200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437377041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 E FLETCHER AVE",
            "address_2": "SUITE 205",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336122616",
            "telephone_number": "813-579-7807",
            "fax_number": "813-979-8683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 E FLETCHER AVE",
            "address_2": "SUITE 205",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336122616",
            "telephone_number": "813-579-7807",
            "fax_number": "813-979-8683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & H HILLSBOROUGH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PENA DOMINGUEZ",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "DULCE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "813-579-7807",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "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 Aug 22, 2020; 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.