Graduated: 1987
NPI: 1508863879
Practice Locations (2)
H LEE MOFFITT CANCER CTR AND RES INST LIFE TIME CANCER SCRN CTR INC
1215 OXBRIDGE DR
LUTZ, FL 335499324
8888602778
H LEE MOFFITT CANCER CTR AND RES INST LIFE TIME CANCER SCRN CTR INC
12902 USF MAGNOLIA DR
TAMPA, FL 336129416
8888602778
Source: CMS National Downloadable File, September 2026.