NPIMap

Organization Active NPI

Tampa Family Health Centers, Inc

  • General Practice Physician
  • Tampa, FL
National Provider Identifier
1831655380
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
TAMPA FAMILY HEALTH CENTERS, INC
Practice address
12085 W. Hillsborough Ave.
Tampa, FL 33625
Phone
(813) 397-5300
NPI assigned
Feb 20, 2019
Last updated
Sep 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 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
Federally Qualified Health Center (FQHC) 261QF0400X
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

12085 W. Hillsborough Ave.
Tampa, FL 33625

Mailing address

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

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
O20190606001462 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 1831655380. Details of each certification follow.

Federally qualified health center certification: CCN 681146

Legal name
TAMPA FAMILY HEALTH CENTERS INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 6, 2019
Last certification
Jun 6, 2019
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Feb 8, 1984 in FL
Enrollment address
12085 W Hillsborough Ave
Tampa, FL 33635-9725

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
Tax ID family
Tampa Family Health Center Inc48 organizations share this tax ID, including this one
Part of
Tampa Family Health Center Inc

Other organizations with this tax ID 47

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

View all 47

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Stephanie Losurdo Individual Corporate DirectorImmediate Past Chair Mar 5, 2010
Brian Doster Individual Corporate DirectorBoard Member Mar 28, 2016
Thomas Vanpelt Individual 5% Or Greater Direct Ownership InterestCoo Jan 1, 2021 100%
Corporate OfficerCoo Jan 1, 2021 100%
W-2 Managing Employee Jan 1, 2021
Damaris Vieira Individual Corporate DirectorBoard Member Mar 28, 2016
Rodney White Individual Corporate DirectorChair Mar 28, 2016
Sherry Hoback Individual Corporate OfficerCeo Mar 1, 2018
W-2 Managing Employee Mar 1, 2018
Sophia Romeus Individual Corporate DirectorSecretary Sep 24, 2018
Cheryl Howell Individual Corporate DirectorBoard Member Jul 23, 2018
Alfonsa James Individual Corporate DirectorTreasurer Jul 23, 2018

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": "1550620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789516800000",
    "number": "1831655380",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12085 W. HILLSBOROUGH AVE.",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33625",
            "telephone_number": "813-397-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA FAMILY HEALTH CENTERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-20",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "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": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.