H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE HOSPITAL, INC (NPI# 1790122380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790122380 |
| Entity Type | Organization |
| Organization Name | H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE HOSPITAL, INC |
| Practice Address |
4117 E Fowler Ave Tampa FL 33617-2011 |
| Mailing Address |
12902 Usf Magnolia Dr Tampa FL 33612-9416 |
| Practice Telephone | 8137454746 |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2013-05-23 |
| Authorized Official Name | JANENE CULUMBER (SVP CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 8137451329 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 281P00000X | Chronic Disease Hospital | Hospitals |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE HOSPITAL, INC. | 12902 Magnolia Dr, Tampa, FL 33612-9416 |
| 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 |
| 1083010839 | H. Lee Moffitt Cancer Center & Research Institute | Special Hospital | 4117 E Fowler Ave, Tampa, FL 33617-2011 | 2014-11-06 |
| 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 | 281P00000X |
| Grouping | Hospitals |
| Classification | Chronic Disease Hospital |
| (1) A hospital including a physical plant and personnel that provides multidisciplinary diagnosis and treatment for diseases that have one or more of the following characteristics: is permanent; leaves residual disability; is caused by nonreversible pathological alteration; requires special training of the patient for rehabilitation; and/or may be expected to require a long period of supervision or care. In addition, patients require the safety, security, and shelter of these specialized inpatient or partial hospitalization settings. (2) A hospital that provides medical and skilled nursing services to patients with long-term illnesses who are not in an acute phase but who require an intensity of services not available in nursing homes. |
| Notes: Source: (1) Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740645282 | The Boyer Group | Chronic Disease Hospital | 4061 Pebble Brooke Cir N, Orange Park, FL 32065-8205 | 2015-12-29 |
| 1033479316 | Va Medical Center | Chronic Disease Hospital | 500 Trinity Ln N Apt 5204, St Petersburg, FL 33716-1236 | 2012-05-21 |
| 1093786667 | Florida Department of Health | Chronic Disease Hospital | 1199 W Lantana Rd, Lantana, FL 33462-1514 | 2006-01-31 |
| 1447749288 | Amit Paul Jangam | Chronic Disease Hospital | 2001 W 68th St, Hialeah, FL 33016-1801 | 2018-05-07 |
| 1427553569 | Dhriti Das | Chronic Disease Hospital | 2001 W 68th St Ste 202, Hialeah, FL 33016-1801 | 2018-03-29 |
| 1336696335 | Orlando Health Central | Chronic Disease Hospital | 10000 W Colonial Dr, Ocoee, FL 34761-3400 | 2016-09-07 |
| 1811385990 | Physicians Creek Inc | Chronic Disease Hospital | 2040 Ne 163rd St Ste 204, North Miami Beach, FL 33162-4953 | 2014-12-25 |
| 1497033500 | Jackson Memorial Hospital | Chronic Disease Hospital | 1450 Nw 10th Ave, Suite 2054a, Miami, FL 33136-1011 | 2011-07-25 |
| 1982993143 | Tanya Kirpalani | Chronic Disease Hospital | 17325 Pagonia Rd, Clermont, FL 34711-6008 | 2011-03-28 |
| 1568762219 | Cleveland Clinic Florida | Chronic Disease Hospital | 2950 Cleveland Clinic Blvd, Weston, FL 33331-3609 | 2010-10-28 |
| 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.