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RWI17 HILLSBOROUGH COUNTY HEALTH DEPT (Active)
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Main Details
Name
HILLSBOROUGH COUNTY HEALTH DEPT
Subdivision Name
Type
Ryan White Part A
340B ID
RWI17
Grant Number
H89HA00024
Additional Details
Current Program Status
Active
Registration Date
4/1/1997
Participating Start Date
4/1/1997
Participating Approval Date
6/10/2005
Last Recertification Date
2/18/2025
Time Period the Assistance was Received
2/18/2025 - 2/28/2026
Contacts
Authorizing Official
Florida Department of Health
Gisela Hernandez, Director of Nursing
(813) 559-4270
Primary Contact
Florida Department of Health
Michael A Wagner, Health Center Administrator
(813) 559-4393
Addresses
Street Address
1105 E. KENNEDY BLVD
ROOM 101 ANNEX
TAMPA, FL 33602
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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2/20/08 UPDATED MEDICAID # (WAS 0557269); 5/1/06 ID UPDATED (WAS RW17)
08/11/2010
April 2025
April 2025
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