| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1780198168 | BENNETT | SHANE | 2106 S LOIS AVE | TAMPA | FL | 336295659 | ||
| 1639794100 | CONSTANTINE | GIANNA | PO BOX 1289 | TAMPA | FL | 336011289 | ||
| 1285667253 | FARRALES | ANTONIO | DUROY | 2106 S LOIS AVE | TAMPA | FL | 336295659 | |
| 1073692000 | KHORRAN | RAPHAEL | 2106 S LOIS AVE | TAMPA | FL | 336295659 | ||
| 1902003262 | PANCHAL | PINA | 2106 S LOIS AVE | TAMPA | FL | 336295659 | ||
| 1659660009 | SKAIFE | SHAWN | DEREK | 2106 S LOIS AVE | TAMPA | FL | 336295659 |