H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc is a Surgical Oncology Physician based in Atlanta, FL and is specialized in Surgical Oncology. H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc practices in Tampa, FL. The NPI Number for H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc is 1306833595 and holds a License No. (Florida).
The current practice location address for H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc is 12902 Usf Magnolia Dr, Tampa, FL and can be reached out via phone at 813-745-4673.
Location: 12902 Usf Magnolia Dr, Tampa, FL, 30384-8441
Provider Profile Details
NPI Number
1306833595
Provider Name
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
Credential
Provider Entity Type
Organization
Address
12902 Usf Magnolia Dr, Tampa, FL, 30384-8441
Phone Number
813-745-4673
Fax Number
Provider Enumeration Date
10/03/2005
Last Update Date
01/18/2025
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 373056500 | 05 | FL | |
| 24755 | 01 | FL | BCBS |
| 3400057 | 01 | FL | UNITED HEALTHCARE |
| 10D0965510 | 01 | FL | CLIA |
Provider Business Practice Location Address Details
Address
12902 Usf Magnolia Dr
City
State
Zip
33612-9416
Phone Number
813-745-4673
Fax Number
Provider Business Mailing Address Details
Address
12902 Usf Magnolia Dr
City
State
Zip
33612-9416
Phone Number
813-745-4673
Fax Number
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
-
Taxonomy
License No.
()
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
License No.
()
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Medical Genetics
Speciality
Clinical Genetics (M.D.)
Taxonomy
License No.
()
Definition
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecologic Oncology
Taxonomy
License No.
()
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
Provider's Taxonomy Details 5
Type
Allopathic & Osteopathic Physicians
Classification
Preventive Medicine
Speciality
Public Health & General Preventive Medicine
Taxonomy
License No.
()
Definition
Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.
Provider's Taxonomy Details 6
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
()
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Provider's Taxonomy Details 7
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Surgical Oncology
Taxonomy
License No.
()
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
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