Moffitt Medical Group

LBN: H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
Moffitt Medical Group is an health care organization with primary practice located at 12902 Usf Magnolia Dr , Tampa FL 33612-9416. The organization recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Gynecologic Oncology, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is the primary health care specialty. H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc can be contacted via phone (813) 745-4673, or through Blanton, Martha via phone (813) 745-4673.

Contact Information

Primary practice address
12902 Usf Magnolia Dr Tampa FL 33612-9416
Phone: (813) 745-4673
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Blanton, Martha
Phone: (813) 745-4673

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X

Profile Details

NPI number 1306833595
LBN Legal business name H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
DBA Doing business as Moffitt Medical Group
Authorized official Blanton, Martha
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2005
Last updated Feb 2nd, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306833595 NPPES
Florida MEDICAID 373056500
Florida Other 10D0965510
Florida Other 24755
Florida Other 3400057

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