NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1679568703 | GOODMAN | SANDRA | BETH |   | 5245 E FLETCHER AVE | TAMPA | FL | 336171126 |
1952482846 | MCCORMICK | BETSY |   |   | 5245 E FLETCHER AVE | TEMPLE TERRACE | FL | 336171126 |
1972598001 | TARANTINO | SAMUEL |   |   | 5245 E FLETCHER AVE | TAMPA | FL | 336171126 |
1003801135 | YEKO | TIMOTHY | RAYMOND |   | 5245 E FLETCHER AVE | TAMPA | FL | 336171126 |