| NPI | 1306833595 |
|---|---|
| Doing Business As | MOFFITT MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MARTHA BLANTON Credentialing Coordinator 813-745-4673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Additional Taxonomies | 207N00000X Dermatology |
| 207SG0201X Medical Genetics, Clinical Genetics (M.D.) | |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 2086X0206X Surgery, Surgical Oncology | |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2015-02-02 |