Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Citrus Park Internal Medicine

Organization Primary Care Clinic/Center · NPI 1396949293

Citrus Park Internal Medicine is a Primary Care Clinic/Center in Tampa, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007

Practice location Address checks out

16646 N Dale Mabry Hwy
Tampa, FL 33618-1400
Phone: (813) 908-5253
Fax: (813) 908-9100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence ME82596 (FL)

Record details

NPI number1396949293
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pam Farley — Office Manager · (813) 908-5253
Other names Lake Park Internal Medicne
NPI enumeratedJune 13, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 273788, Tampa, FL 33688-3788

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