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

Health Covenant Primary Care

Organization Internal Medicine Physician · NPI 1780122473

Health Covenant Primary Care is an Internal Medicine Physician in Tampa, Florida. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

1323 W Busch Blvd Ste A
Tampa, FL 33612-7766
Phone: (813) 391-9681
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1780122473
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Magaly Dicanio — Administrator · (813) 391-9681
NPI enumeratedFebruary 2, 2017
Last updated in NPPESJuly 21, 2022
Mailing address1323 W Busch Blvd Ste A, Tampa, FL 33612-7766

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