PASSPORT HEALTH OF TAMPA BAY – Health Service Clinic/Center, NPI 1699968909

PASSPORT HEALTH OF TAMPA BAY is a healthcare provider. based in Tampa, Florida. specializing in Health Service Clinic/Center. The organization holds a License No. RN2855132 (FL). The NPI Number for PASSPORT HEALTH OF TAMPA BAY is 1699968909

Main info

Organization
Name
PASSPORT HEALTH OF TAMPA BAY
NPI
1699968909
Phone
(813) 969-3757
Address
4204 W LINEBAUGH AVE
Authorized Official
DUELLYN Z PANDIS EXECUTIVE DIRECTOR APRN
Enumeration Date
20 August 2007
Last Update Date
1 September 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for PASSPORT HEALTH OF TAMPA BAY

  • 4204, West Linebaugh Avenue, Mullis City, Hillsborough County, Florida, 33624, United States

    TAMPA, FL 336245241

    Phone: (813) 969-3757

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33624)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for PASSPORT HEALTH OF TAMPA BAY?
PASSPORT HEALTH OF TAMPA BAY — NPI 1699968909 — is the standard way to identify this listing.
Does the file indicate PASSPORT HEALTH OF TAMPA BAY is practicing under active NPI?
Directory data currently reports PASSPORT HEALTH OF TAMPA BAY as active.
What is PASSPORT HEALTH OF TAMPA BAY's specialty?
The listing groups PASSPORT HEALTH OF TAMPA BAY with Health Service Clinic/Center. Clinical services aligned with this taxonomy classification.
What area does PASSPORT HEALTH OF TAMPA BAY serve?
PASSPORT HEALTH OF TAMPA BAY's listing highlights Tampa, Florida; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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