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H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE HOSPITAL, INC.
NPI 1073339412
Durable Medical Equipment & Medical Supplies in Tampa, FL

Active since December 02, 2024CLIA Certified · 6 labs
12902 USF MAGNOLIA DR, TAMPA, FL 33612(813) 745-4673 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About H. Lee Moffitt Cancer Center And Research Institute Hospital, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE HOSPITAL, INC. (NPI 1073339412) is a healthcare organization registered as a durable medical equipment & medical supplies in Tampa, Florida and active in the NPI registry since December 2024. The organization holds 6 active CLIA laboratory certificates and lists Joanna C Weiss, Evp, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1073339412
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameH. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE HOSPITAL, INC.
Location Address12902 USF MAGNOLIA DRTampa, FL 33612-9416
Mailing Address12902 Usf Magnolia DrTampa, FL 33612-9416 · (813) 745-4673
Phone(813) 745-4673
Organization SubpartYes
Authorized OfficialJoanna C WeissEvp, Chief Financial Officer · (813) 745-1188
Enumeration DateDecember 2, 2024
NPPES CertifiedDecember 2, 2024
✔ NPI 1073339412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
12902 USF MAGNOLIA DR, Tampa, FL 33612
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Other Names 1

Other NameMoffitt Cancer Center Magnolias Salon

CLIA Laboratory Certificates CMS CLIA 6

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0712828

H Lee Moffitt Cancer Center And Research Institute Hospital, Inc · Tampa, FL
Active · expires Aug 31, 2028
CLIA Number10D0712828
Laboratory TypeHospital
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorKelley S. Gonzalvo
Laboratory Phone(813) 745-1378
Laboratory LocationH Lee Moffitt Cancer Center And Research Institute Hospital, Inc12902 Magnolia Dr, Tampa, FL 33612
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 10D2283811

H Lee Moffitt Cancer Center And Research Institute Hospital Inc · Tampa, FL
Active · expires Jul 9, 2028
CLIA Number10D2283811
Laboratory TypeHospital
Certificate Effective DateJuly 10, 2026
Certificate Expiration DateJuly 9, 2028
Laboratory DirectorDr. Elizabeth M. Sagatys
Laboratory Phone(813) 745-6309
Laboratory LocationH Lee Moffitt Cancer Center And Research Institute Hospital Inc10901 Mckinley Drive 2nd Floor Mmh-Lab, Tampa, FL 33612
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 10D2284093

H Lee Moffitt Cancer Center And Research Institute Hospital Inc · Tampa, FL
Active · expires May 21, 2028
CLIA Number10D2284093
Laboratory TypeHospital
Certificate Effective DateMay 22, 2026
Certificate Expiration DateMay 21, 2028
Laboratory DirectorDr. Glen L. Hortin
Laboratory Phone(813) 745-5193
Laboratory LocationH Lee Moffitt Cancer Center And Research Institute Hospital Inc10901 Mckinley Dr 4th Floor Respiratory Care, Tampa, FL 33612
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 10D2242098

H Lee Moffitt Cancer Center And Research Institute Hospital, Inc · Tampa, FL
Active · expires Nov 3, 2027
CLIA Number10D2242098
Laboratory TypeEmployee Health Clinic
Certificate Effective DateNovember 4, 2025
Certificate Expiration DateNovember 3, 2027
Laboratory DirectorJohn Greene
Laboratory Phone(813) 745-6899
Laboratory LocationH Lee Moffitt Cancer Center And Research Institute Hospital, Inc10902 Mckinley Dr Suite 100, Tampa, FL 33612
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2286547

H Lee Moffitt Cancer Center And Research Institute Hospital, Inc · Tampa, FL
Active · expires Jul 31, 2027
CLIA Number10D2286547
Laboratory TypeHospital
Certificate Effective DateAugust 1, 2025
Certificate Expiration DateJuly 31, 2027
Laboratory DirectorKelley S. Gonzalvo
Laboratory Phone(813) 745-1378
Laboratory LocationH Lee Moffitt Cancer Center And Research Institute Hospital, Inc10901 Mckinley Dr, Tampa, FL 33612
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 10D0290540

H Lee Moffitt Cancer Center & Research Institute · Tampa, FL
Active · expires Jan 2, 2027
CLIA Number10D0290540
Laboratory TypeHospital
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorDr. Lynn C. Moscinski
Laboratory Phone(813) 745-4673
Laboratory LocationH Lee Moffitt Cancer Center & Research Institute12902 Magnolia Dr Attn Mailstop Mcc-Lab, Tampa, FL 33612
CLIA data matches this NPI record on: Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL MARTIN WACH MD
Surgery
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Hillsborough County (813) 745-2916
ASTI ELIZABETH REGO APRN
Nurse Practitioner
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Hillsborough County (813) 745-7365
MR. NIEMA BRANDON RAZAVIAN MD
Radiology (Radiation Oncology)
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Hillsborough County (137) 457-3658
BRANDON HOLMES
Nurse Anesthetist, Certified Registered
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Hillsborough County (813) 745-4673
FRANCES IVELISSE BERNARDO MERCADO PA-C
Physician Assistant
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Hillsborough County (813) 745-4673
SADHVI BATRA MD
Obstetrics & Gynecology
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Hillsborough County (813) 745-7365
JING WANG M.D.
Pathology (Anatomic Pathology)
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Hillsborough County (813) 745-4673
MR. MARC VINCENT MANACCI CRNA
Anesthesiology
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Hillsborough County (813) 745-4673

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is H. Lee Moffitt Cancer Center And Research Institute Hospital, Inc.'s NPI number?

The NPI number for H. Lee Moffitt Cancer Center And Research Institute Hospital, Inc. is 1073339412. It was assigned to this organization in the NPPES registry on December 2, 2024. The provider is also known as Moffitt Cancer Center Magnolias Salon.

Where is H. Lee Moffitt Cancer Center And Research Institute Hospital, Inc. located?

H. Lee Moffitt Cancer Center And Research Institute Hospital, Inc. is located at 12902 Usf Magnolia Dr, Tampa, FL 33612. The listed phone number is (813) 745-4673.

What is H. Lee Moffitt Cancer Center And Research Institute Hospital, Inc.'s specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does H. Lee Moffitt Cancer Center And Research Institute Hospital, Inc. hold CLIA laboratory certificates?

Yes. 6 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for H. Lee Moffitt Cancer Center And Research Institute Hospital, Inc. was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.