| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1295721496 | DE LA RIVA | RAFAEL | 4519 GEORGE RD | TAMPA | FL | 336347329 | ||
| 1609862671 | LOMBARDI | CHRISTOPHER | 4519 GEORGE RD | TAMPA | FL | 336347329 | ||
| 1760478739 | PEREZ | GABRIEL | 4519 GEORGE RD | TAMPA | FL | 336347329 |