NPIMap

Organization Active NPI

Tampa Family Health Centers, Inc

Doing business as Tampa Family Health Center #30

  • General Practice Physician
  • Tampa, FL
National Provider Identifier
1447544010
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
TAMPA FAMILY HEALTH CENTERS, INC
Doing business as
Tampa Family Health Center #30
Practice address
302 W Fletcher Ave
Tampa, FL 33612-3415
Phone
(813) 397-5305
Fax
(813) 549-7855
NPI assigned
Jun 1, 2011
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
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary
Federally Qualified Health Center (FQHC) 261QF0400X

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 names 1

  • Tampa Family Health Center #30 Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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
O20120305000252 FL Part A Provider - Federally Qualified Health Center (FQHC) 1254243769 Practice locations: Tampa, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1447544010. Details of each certification follow.

Federally qualified health center certification: CCN 101085

Legal name
TAMPA FAMILY HEALTH CENTERS INC
Doing business as
TAMPA FAMILY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 5, 2012
Last certification
Mar 5, 2012
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Feb 8, 1984 in FL
Enrollment address
302 W Fletcher Ave
Tampa, FL 33612-3415

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

12410 N Nebraska Ave
Tampa, FL 33612
Phone (813) 866-0950

4422 E Columbus Dr
Tampa, FL 33605
Phone (813) 384-4000

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 Sep 1, 2011
Brian Doster Individual Corporate DirectorBoard Member Mar 5, 2010
Thomas Vanpelt Individual Corporate OfficerCoo Jan 1, 2021
Jerry Mason Individual Corporate DirectorBoard of Directors Sep 1, 2011
Damaris Vieira Individual Corporate DirectorBoard Member Jan 1, 2012
Rodney White Individual Corporate DirectorBoard Member Jan 1, 2012
Sherry Hoback Individual Corporate OfficerCeo Mar 1, 2018 100%
W-2 Managing Employee Mar 1, 2018
Sophia Romeus Individual Corporate OfficerBoard Member Sep 24, 2018
Wendy Hoeflich Individual Corporate OfficerChief Financial Officer Mar 1, 2018
Cheryl Howell Individual Corporate OfficerBoard Member Jul 23, 2018
Eric Perez Individual Corporate DirectorBoard of Directors Sep 1, 2011
Alfonsa James Individual Corporate OfficerBoard Member Jul 23, 2018

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1447544010",
    "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": "813-397-5305",
            "fax_number": "813-549-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA FAMILY HEALTH CENTERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-01",
        "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": true
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tampa Family Health Center #30",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.