Medical school: UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduated: 1983
NPI: 1225011265
Practice Locations (2)
H LEE MOFFITT CANCER CTR AND RES INST LIFE TIME CANCER SCRN CTR INC
12902 USF MAGNOLIA DR
TAMPA, FL 336129416
8888602778
H LEE MOFFITT CANCER CTR AND RES INST LIFE TIME CANCER SCRN CTR INC
15820 SANCTUARY DR
TAMPA, FL 336471075
8888602778
Source: CMS National Downloadable File, September 2026.