Graduated: 1993
NPI: 1922200062
Practice Locations (2)
H LEE MOFFITT CANCER CTR AND RES INST LIFE TIME CANCER SCRN CTR INC
10901 MCKINLEY DR
TAMPA, FL 336126455
8137454673
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.