H. LEE MOFFITT CANCER CENTER & RESEARCH INSTITUTE (NPI# 1083010839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083010839 |
| Entity Type | Organization |
| Organization Name | H. LEE MOFFITT CANCER CENTER & RESEARCH INSTITUTE |
| Practice Address |
4117 E Fowler Ave Tampa FL 33617-2011 |
| Practice Telephone | 8137454810 |
| Practice Fax Number | 8137455445 |
| Mailing Telephone | 8137454810 |
| Mailing Fax Number | 8137455445 |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2014-11-06 |
| Authorized Official Name | COURTNEY LEWIS (GENETIC COUNSELOR) |
| Authorized Official Telephone | 8137454810 |
| Authorized Official Credential | MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 284300000X | Special Hospital | Hospitals |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | H. LEE MOFFITT CANCER CENTER & RESEARCH INSTITUTE FOUNDATION, INC. | 12902 Magnolia Dr, Tampa, FL 33612 |
| Street Address |
4117 E FOWLER AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33617-2011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346281755 | Elizabeth Matos-berk | Nurse Practitioner | 4117 E Fowler Ave, Tampa, FL 33617-2011 | 2006-06-08 |
| 1033515556 | Anna Cantor | Genetic Counselor, MS | 4117 E Fowler Ave, Tampa, FL 33617-2011 | 2014-11-11 |
| 1467858217 | Jennifer Brzosowicz | Genetic Counselor, MS | 4117 E Fowler Ave, Tampa, FL 33617-2011 | 2014-11-06 |
| 1205232055 | Laura Virginia Barton | Genetic Counselor, MS | 4117 E Fowler Ave, Tampa, FL 33617-2011 | 2014-11-06 |
| 1790122380 | H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc | Chronic Disease Hospital | 4117 E Fowler Ave, Tampa, FL 33617-2011 | 2013-05-23 |
| 1942597927 | Meghan Sherman | Genetic Counselor, MS | 4117 E Fowler Ave, Tampa, FL 33617-2011 | 2011-06-29 |
| 1497861108 | Sharon K Tollin | Nurse Practitioner | 4117 E Fowler Ave, Tampa, FL 33617-2011 | 2006-08-23 |
| 1316962285 | Christine B Gage | Nurse Practitioner | 4117 E Fowler Ave, Tampa, FL 33617-2011 | 2006-07-13 |
| 1306861125 | Raye E Minardi | Nurse Practitioner | 4117 E Fowler Ave, Tampa, FL 33617-2011 | 2006-07-13 |
| 1427089291 | Jennifer Permuth Wey | Genetic Counselor, MS | 4117 E Fowler Ave, Tampa, FL 33617 | 2006-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285253195 | Kare Medical Equipment Inc. | Durable Medical Equipment & Medical Supplies | 7860 North 56th Street, Tampa, FL 33617 | 2020-04-10 |
| 1942840467 | Care Medrx LLC | Pharmacy | 311 Bullard Pkwy Ste. B, Temple Terrace, FL 33617 | 2020-01-13 |
| 1467004804 | Favorite Care Services, LLC | In Home Supportive Care | 7628 N 56th St Ste 2, Tampa, FL 33617 | 2019-07-16 |
| 1982265625 | Promise Home Care Agency LLC | In Home Supportive Care | 315 Bahamas Ave, Tampa, FL 33617 | 2019-06-24 |
| 1164912754 | Superior Physician Group | Pain Medicine | 10730 N 56th St Ste 209, Temple Terrace, FL 33617 | 2018-05-18 |
| 1346738796 | Advanced Pain Management and Anesthesiology | Clinic/Center | 4209 E. Busch Blvd, Tampa, FL 33617 | 2018-05-01 |
| 1184112427 | Imperial Connections Support Programs, LLC | In Home Supportive Care | 9806 N Connechusett Rd, Tampa, FL 33617 | 2018-04-23 |
| 1609394204 | Erin E Sleeper | Behavior Technician | 418 Belle Claire Ave, Temple Terrace, FL 33617 | 2017-09-03 |
| 1720504293 | Robin A Kelly | Nurse's Aide | 7523 Pitch Pine Circle, Apt B, Tampa, FL 33617 | 2017-08-16 |
| 1174046023 | Rishita Amish Patel | Pharmacist | 532 Heritage Brook Cir, Apt #101, Temple Terrace, FL 33617 | 2017-07-24 |
| Find all providers in zip 33617 | ||||
| Taxonomy Code | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083942064 | Moffitt Cancer Center & Research Institute | Special Hospital | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2009-12-02 |
| 1023342482 | Ruthie Mccrary, M.d., P.a. | Special Hospital | 2727 W. Martin Luther King Blvd, Suite 500, Tampa, FL 33607 | 2009-10-01 |
| 1780653618 | H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc. | Special Hospital | 12902 Magnolia Dr, Tampa, FL 33612-9416 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205378940 | Matthew Lee Islam | Special Hospital | 1733 3rd Ave N Apt 11, Lake Worth, FL 33460-3286 | 2016-11-11 |
| 1669822854 | Nathalie Oudin | Special Hospital | 8302 S Dixie Hwy, Banfield Pet Hospital - Dadeland #2440, Miami, FL 33143-7714 | 2016-06-17 |
| 1033474911 | Marathon Verterinary Hospital Inc. | Special Hospital | 11187 Overseas Hwy, Marathon, FL 33050-3460 | 2012-07-07 |
| 1306158266 | Jackson Memorial Hospital | Special Hospital | 13128 Sw 45th Dr, Miramar, FL 33027-3160 | 2010-07-08 |
| 1962639344 | Vanessa Silebi, Md,pa | Special Hospital | 3661 S Miami Ave Ste 108, Miami, FL 33133-4206 | 2009-06-12 |
| 1164695888 | Jensen Beach Animal Hospital, LLC | Special Hospital | 1553 Ne Arch Ave, Jensen Beach, FL 34957-5755 | 2008-04-03 |
| 1235307554 | North Beach Research Institute, LLC | Special Hospital | 940 S Shore Dr, Miami Beach, FL 33141-2412 | 2008-02-20 |
| 1881874840 | Marge Brewster Center | Special Hospital | 5825 Us 27 N, Sebring, FL 33870-1216 | 2007-11-07 |
| 1144417197 | Department of Veterans Affairs Medical Center West Palm Beach | Special Hospital | 126 5th Street, Jupiter, FL 33458 | 2007-10-03 |
| 1851586333 | Joan Pamela Roberts | Special Hospital | 361 Berenger Walk, Wellington, FL 33414-4345 | 2007-09-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.