Provider Demographics
NPI:1033915004
Name:RFH TAMPA LLC
Entity type:Organization
Organization Name:RFH TAMPA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EVP, STRATEGIC GROWTH INITIATIVES
Authorized Official - Prefix:
Authorized Official - First Name:RANDALL
Authorized Official - Middle Name:L
Authorized Official - Last Name:HAUPT
Authorized Official - Suffix:
Authorized Official - Credentials:MHA
Authorized Official - Phone:931-494-7057
Mailing Address - Street 1:34 UPPER RIVERDALE RD SE STE 101
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:GA
Mailing Address - Zip Code:30274-2635
Mailing Address - Country:US
Mailing Address - Phone:931-494-7057
Mailing Address - Fax:
Practice Address - Street 1:14497 N DALE MABRY HWY STE 235-N
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618-2047
Practice Address - Country:US
Practice Address - Phone:470-292-3820
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty