Graduated: 2023
NPI: 1285480988
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
EMERGENCY MEDICAL ASSOCIATES OF TAMPA BAY LLC
3001 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 336076307
8138704000
Source: CMS National Downloadable File, September 2026.