Graduated: 2022
NPI: 1669005195
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
TAMPA FAMILY HEALTH CENTERS INC
7814 N DALE MABRY HWY
TAMPA, FL 336143220
8133975300
Source: CMS National Downloadable File, September 2026.