OrganizationActive
Passport Health of Tampa Bay
NPI 1699968909 · Health Service Clinic/Center · Tampa, FL
Provider details
- NPI number
- 1699968909
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Duellyn Pandis, Clinic Director(813) 969-3757
- License
- RN2855132 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4202 W Linebaugh Ave
Tampa, FL 33624-5241
Phone: (813) 969-3757
Street-level locationGet directions
Mailing address
4202 W Linebaugh Ave
Tampa, FL 33624-5241
Registry dates
- Enumerated
- 2007-08-20
- Last updated
- 2026-06-03
- Certified
- 2026-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.