MOFFITT MEDICAL GROUP
NPI 1306833595
Dermatology in Tampa,


Quality Rating: 100 out of 100 score

NPI Status: Active since October 3, 2005

Contact Information

12902 Usf Magnolia Dr
Tampa,
Post Code: 33612
Phone: (813) 745-4673
Fax: -

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Moffitt Medical Group in Tampa - Dermatology

Moffitt Medical Group is a Dermatology in Tampa, . Moffitt Medical Group practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Moffitt Medical Group is 1306833595. The last update date is 2024-12-26.

Moffitt Medical Group's current location address is 12902 Usf Magnolia Dr, Tampa, . You can contact this provider via phone number (813) 745-4673 and fax number -. The mailing address for Moffitt Medical Group is 12902 Usf Magnolia Dr, Tampa, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1306833595
Provider Legal Name
H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC
Other Organization Name
MOFFITT MEDICAL GROUP
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
12902 Usf Magnolia Dr, Tampa,
Location Phone
(813) 745-4673
Location Fax
-
Mailing Address
Po Box 198441, Atlanta, Georgia(GA)
Mailing Phone
866-761-5658
Mailing Fax
-
Enumeration Date
2005-10-03
Last Update Date
2024-12-26
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine, Hematology & Oncology

Taxonomy Code
207RH0003X
Type
-
License No.
-
License State
-
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 207N00000X Dermatology Physician

Dermatology

()
2 207SG0201X Clinical Genetics (M.D.) Physician

Medical Genetics, Clinical Genetics (M.D.)

()
3 207VX0201X Gynecologic Oncology Physician

Obstetrics & Gynecology, Gynecologic Oncology

()
4 2083P0901X Public Health & General Preventive Medicine Physician

Preventive Medicine, Public Health & General Preventive Medicine

()
5 2085R0202X Diagnostic Radiology Physician

Radiology, Diagnostic Radiology

()
6 2086X0206X Surgical Oncology Physician

Surgery, Surgical Oncology

()

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
10D0965510 Other (non-Medicare) (01) Florida (FL) CLIA
24755 Other (non-Medicare) (01) Florida (FL) BCBS
3400057 Other (non-Medicare) (01) Florida (FL) United Healthcare
373056500 MEDICAID (05) Florida (FL)
========= Other (non-Medicare) (01) Florida (FL) Tricare

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1306833595
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23061636518
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 23061636518
2 + 3 + 0 + 6 + 1 + 6 + 3 + 6 + 5 + 1 + 8 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 5 5

The NPI number 1306833595 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114920261 RICHARD RANDALL THACKER
Individual
Internal Medicine 2770 CAPITAL MEDICAL BLVD
TALLAHASSEE, Florida (FL)
850-878-8235
1295738243 MEDFUND LLC
HORIZON COLUMBUS LLC
Organization
Clinic/Center, Magnetic Resonance Imaging (MRI) 240 N WASHINGTON BLVD
SARASOTA, Florida (FL)
941-925-3490
1194728147 BADER PROSTHETICS & ORTHOTICS, INC
Organization
Prosthetic/Orthotic Supplier 125 CHAPMAN RD E
LUTZ, Florida (FL)
813-962-6100
1275536229 MEDFUND LLC
HORIZONS JANE BRANCH MEMORIAL MRI CENTER OF GARLAND LLC
Organization
Clinic/Center, Magnetic Resonance Imaging (MRI) 240 N WASHINGTON BLVD
SARASOTA, Florida (FL)
941-925-3490
1194728121 DAVID W BADOLATO
Individual
Family Medicine 6300 N. WICKHAM RD
MELBOURNE, Florida (FL)
321-433-1534