Individual provider Active NPI

Larry H Wilf, M.D.

  • Nuclear Radiology Physician
  • Tampa, FL
National Provider Identifier
1508824608
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Radiology PhysicianTaxonomy code 2085N0904X
License
ME50946 Issued in FL
Practice address
12902 Usf Magnolia Dr
Tampa, FL 33612-9416
Phone
(813) 745-4673
Fax
(813) 449-8618
NPI assigned
May 1, 2006
Last updated
Jul 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Radiology Physician 2085N0904X ME50946 FL Primary

Addresses

Primary practice location

12902 Usf Magnolia Dr
Tampa, FL 33612-9416

Mailing address

73 Ponte Vedra Blvd
Ponte Vedra, FL 32082-1311
Phone (813) 745-4673

Other identifiers 11

IdentifierTypeStateIssuer
03743OtherFLBCBS
5018006OtherFLAETNA
P01451893OtherFLRR MEDICARE
1226050OtherFLCIGNA
301208OtherFLAVMED
P01596525OtherFLRR MEDICARE
P00190196OtherFLMEDICARE RAILROAD
006250600MedicaidFL
1119092OtherFLWELLCARE
258093400MedicaidFL
P00714011OtherFLRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040625000787 FL Practitioner - Nuclear MedicinePractitioner - Diagnostic Radiology 4587640016 Reassigns benefits to 3 organizations
I20201019002781 NY Practitioner - Nuclear MedicinePractitioner - Diagnostic Radiology 4587640016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nuclear Medicine
Education
Medical College of Pennsylvania, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roswell Park Cancer InstituteGroup PAC ID 3577475110, 487 clinicians

Practice addresses (Care Compare)

655 W 8TH St
Jacksonville, FL 32209-6511
Phone (904) 244-6700

Elm and Carlton St
Buffalo, NY 14263-0001
Phone (716) 845-2300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME50946FLMDNuclear Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Physician Specialists LLC CurrentSince Oct 1, 2017 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Diagnostic Radiology Current Accepting new patients
University of Florida Jacksonville Physicians Inc Nuclear Radiology CurrentSince Jun 1, 2019 Accepting new patients
Florida Physician Specialists LLC Current Accepting new patients
Roswell Park Cancer Institute CurrentSince Aug 1, 2025 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC Diagnostic Radiology CurrentSince Oct 1, 2021 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Jun 1, 2019 Accepting new patients
Roswell Park Cancer Institute CurrentSince Aug 1, 2025 Accepting new patients
Integrated Community Oncology Network LLC Past Accepting new patients
National P E T Scan Broward LLC Diagnostic Radiology Past Accepting new patients
Genesiscare USA of Florida LLC Past Accepting new patients
Integrated Community Oncology Network LLC Diagnostic Radiology Past Accepting new patients
Memorial Southside Cancer Center LLC PastSince Aug 1, 2007 Accepting new patients
National P.E.T. Scan Pinellas, LLC Diagnostic Radiology Past Accepting new patients
National Pet Scan Management, LLC Specialist PastSince Apr 24, 2022 Accepting new patients
Signet Diagnostic Imaging Services North Florida LLC Past Accepting new patients
Integrated Community Oncology Network LLC Past Accepting new patients
Physicians for a Community United for Research and Education LLC Nuclear Medicine Past Accepting new patients
Physicians for a Community United for Research and Education LLC Past Accepting new patients
National P.E.T. Scan Dade, LLC Diagnostic Radiology PastSince Apr 24, 2022 Accepting new patients

Locations

3840 Broadway
Fort Myers, FL 33901
Phone (239) 275-6400

4371 Veronica S Shoemaker Blvd
Fort Myers, FL 33916
Phone (239) 432-8500

1215 Dunn Ave
Ste 4
Jacksonville, FL 32218
Phone (904) 696-8400

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

7017 A C Skinner Pkwy
Jacksonville, FL 32256
Phone (904) 520-6800

710 Lomax St
Jacksonville, FL 32204
Phone (904) 306-6781

710 Lomax St
Ste 1
Jacksonville, FL 32204
Phone (904) 483-2310

795 SW State Road 47
Lake City, FL 32025
Phone (386) 401-7066

1970 Golf St
Fl Cancer
Sarasota, FL 34236
Phone (941) 795-3780

4420 Sun N Lake Blvd
Fl Cancer
Sebring, FL 33872
Phone (863) 385-1244

Dept 8000
Buffalo, NY 14267

Elm and Carlton St
Buffalo, NY 14263

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 20

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1508824608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 PONTE VEDRA BLVD",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320821311",
            "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": {
        "last_name": "WILF",
        "first_name": "LARRY",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "FL",
            "license": "ME50946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "03743",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5018006",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01451893",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1226050",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "301208",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01596525",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00190196",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006250600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "1119092",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258093400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00714011",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.