H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
NPI 1306833595 · Hematology & Oncology Physician · Tampa, FL
Provider details
- NPI number
- 1306833595
- Entity type
- Organization
- Primary specialty
- Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Maureen Clement, Director(813) 745-4673
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Dermatology Physician207N00000X
Allopathic & Osteopathic Physicians
- Clinical Genetics (M.D.) Physician207SG0201X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Diagnostic Radiology Physician2085R0202X
Allopathic & Osteopathic Physicians
- Surgical Oncology Physician2086X0206X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
7 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Moffitt Medical Group
Additional practice locations (6)
- 10901 Mckinley DrTampa, FL 33612-6455Phone: (813) 745-4673
- 10920 Mckinley DrTampa, FL 33612-6471Phone: (813) 745-4673
- 10901 Mckinley DrTampa, FL 33612-6455Phone: (813) 745-4673
- 4101 Jim Walter BlvdTampa, FL 33607-5775Phone: (813) 745-4673
- 2590 Healing Way Ste 200Wesley Chapel, FL 33543-5497Phone: (813) 745-4673
- 2590 Healing Way Ste 100Wesley Chapel, FL 33543-5496Phone: (813) 745-4673
Registry dates
- Enumerated
- 2005-10-03
- Last updated
- 2024-12-26
- Certified
- 2024-12-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.