H Lee Moffitt Cancer Ctr and Research Inst LCSC Inc

Primary specialty

Anatomic Pathology PhysicianTaxonomy code 207ZP0101X

Legal business name

H LEE MOFFITT CANCER CTR AND RESEARCH INST LCSC INC

Practice address

12902 Usf Magnolia Dr
Tampa, FL 33612-9416

Phone

(813) 745-4673

Fax

(813) 449-8618

NPI assigned

Sep 3, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jing Wang, MD

Title

Pathology - Anatomic Pathology

Phone

(813) 745-4673

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1756857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1154201093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198441",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303848441",
            "telephone_number": "813-745-4673",
            "fax_number": "813-449-8618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12902 USF MAGNOLIA DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336129416",
            "telephone_number": "813-745-4673",
            "fax_number": "813-449-8618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H LEE MOFFITT CANCER CTR AND RESEARCH INST LCSC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-03",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "JING",
        "authorized_official_title_or_position": "PATHOLOGY - ANATOMIC PATHOLOGY",
        "authorized_official_telephone_number": "813-745-4673",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kailyn Gyorkos
• Gloria Gysbertsen, ARNP
• H & H Perficient LLC
• H & S Rehabilitation Center Inc
• H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer SCRN Ctr Inc
• H-Ez Behavior Inc
• H. Lee Moffitt Cancer Center & Research Institute
• H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc
• H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc.
• H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc.

• Anatomic Pathology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Anatomic Pathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.