Graduated: 2022
NPI: 1598410318
Practice Locations (3)
OBSERVATION MEDICAL GROUP LLC
6901 SIMMONS LOOP
RIVERVIEW, FL 335789498
8133028000
H LEE MOFFITT CANCER CTR AND RES INST LIFE TIME CANCER SCRN CTR INC
12902 USF MAGNOLIA DR
TAMPA, FL 336129416
8888602778
OBSERVATION MEDICAL GROUP LLC
3001 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 336076307
8138704000
Source: CMS National Downloadable File, September 2026.