| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1346475399 | ANDERSON | MARY | ANGELINE | 1513 W BUSCH BLVD | TAMPA | FL | 336127603 | |
| 1689634735 | NASH | MICHELLE | MARION | 1513 W BUSCH BLVD | TAMPA | FL | 336127603 | |
| 1467466219 | SHAFII | SOHRAB | 1513 W BUSCH BLVD | TAMPA | FL | 336127603 |