NPIMap

Organization Active NPI

Tampa Family Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Lutz, FL
National Provider Identifier
1699402131
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
19203 N Dale Mabry Hwy
Lutz, FL 33548-5067
Phone
(813) 397-5300
NPI assigned
Aug 4, 2022
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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

19203 N Dale Mabry Hwy
Lutz, FL 33548-5067

Mailing address

PO Box 82969
Tampa, FL 33682-2969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230508002965 FL Part A Provider - Federally Qualified Health Center (FQHC) 1254243769 Practice locations: Lutz, FL

Federally qualified health center certification: CCN 691890

Legal name
TAMPA FAMILY HEALTH CENTERS INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 8, 2023
Last certification
May 8, 2023
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Feb 8, 1984 in FL
Enrollment address
19203 N Dale Mabry Hwy
Lutz, FL 33548-5067

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

National Provider Directory

National Provider Directory
Tax ID family
Tampa Family HC Pharmacy-Nnebraska47 organizations share this tax ID, including this one

Other organizations with this tax ID 46

Organizations that report the same tax identification number in the National Provider Directory.

View all 46

Locations

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

Ownership & related parties

All disclosed owners & managing parties 15

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 of Director Sep 24, 2018
Stephanie Losurdo Individual Corporate DirectorVolunteer Board Member Mar 11, 2008
Brian Doster Individual Corporate DirectorBoard of Director Mar 28, 2016
Joseph Giacomo Individual Corporate DirectorBoard of Director Mar 1, 2018
W-2 Managing Employee Mar 1, 2018
Thomas Vanpelt Individual W-2 Managing EmployeeCoo Jan 1, 2021
Operational/Managerial ControlChief Operation Officer Jan 1, 2021
Jerry Mason Individual Corporate DirectorVolunteer Board Member Mar 5, 2010
Damaris Vieira Individual Corporate DirectorBoard Member Mar 28, 2016
Rodney White Individual Corporate DirectorBoard of Directors Mar 28, 2016
Sherry Hoback Individual Corporate OfficerChief Executive Officer Mar 1, 2018 100%
W-2 Managing Employee Mar 1, 2018
Terence Beck Individual Corporate Officer Mar 1, 2018
W-2 Managing Employee Mar 1, 2018
Sophia Romeus Individual Corporate DirectorBoard Member Sep 24, 2018
Wendy Hoeflich Individual Corporate OfficerChief Financial Officer Nov 16, 2020
W-2 Managing Employee Nov 16, 2020
Cheryl Howell Individual Corporate DirectorVolunter Board Member Jul 23, 2018
Eric Perez Individual Corporate DirectorBoard Member Jan 1, 2012
Alfonsa James Individual Corporate DirectorBoard Member Jul 23, 2018

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1699402131",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19203 N DALE MABRY HWY",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335485067",
            "telephone_number": "813-397-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA FAMILY HEALTH CENTERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-04",
        "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": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

Verify at the official NPI Registry.