Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc

Organization Dermatology Physician · NPI 1306833595

H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc is a Dermatology Physician in Tampa, Florida. Works from 7 locations. Registered with an NPI since 2005.

In the registry since
2005
Specialties on file
7
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12902 Usf Magnolia Dr
Tampa, FL 33612-9416
Phone: (813) 745-4673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (6)

  • 4101 Jim Walter Blvd, Tampa, FL 33607-5775 — (813) 745-4673
  • 10901 McKinley Dr, Tampa, FL 33612-6455 — (813) 745-4673
  • 10901 McKinley Dr, Tampa, FL 33612-6455 — (813) 745-4673
  • 10920 McKinley Dr, Tampa, FL 33612-6471 — (813) 745-4673
  • 2590 Healing Way Ste 200, Wesley Chapel, FL 33543-5497 — (813) 745-4673
  • 2590 Healing Way Ste 100, Wesley Chapel, FL 33543-5496 — (813) 745-4673

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X
Dermatology Physician Taxonomy 207N00000X
Clinical Genetics (M.D.) Physician Taxonomy 207SG0201X
Gynecologic Oncology Physician Taxonomy 207VX0201X
Public Health & General Preventive Medicine Physician Taxonomy 2083P0901X
Diagnostic Radiology Physician Taxonomy 2085R0202X
Surgical Oncology Physician Taxonomy 2086X0206X

Record details

NPI number1306833595
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maureen Clement — Director · (813) 745-4673
Other names Moffitt Medical Group
NPI enumeratedOctober 3, 2005
Last updated in NPPESDecember 26, 2024
Certification dateDecember 26, 2024
Mailing addressPo Box 198441, Atlanta, GA 30384-8441

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