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H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE HOSPITAL, INC.

Company Details

Entity Name: H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE HOSPITAL, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 30 Mar 1994 (31 years ago)
Document Number: N94000001576
FEI/EIN Number 593238634
Address: 12902 MAGNOLIA DRIVE, TAMPA, FL, 33612-9416, US
Mail Address: 12902 MAGNOLIA DRIVE, MBC-OGC, TAMPA, FL, 33612-9416, US
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1023756475 2022-05-25 2022-05-25 12902 USF MAGNOLIA DRIVE, MAILSTOP: MCC-PHARM, TAMPA, FL, 33612, US 12902 USF MAGNOLIA DRIVE, MAILSTOP: MCC-PHARM, TAMPA, FL, 33612, US

Contacts
Phone +1 813-745-7354
Fax 8137451484

Authorized person
Name SOPHIA MARIELA ALFONSO
Role PHARMACY MANAGER
Phone 8137456085

Taxonomy
Taxonomy Code 3336S0011X - Specialty Pharmacy
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 109430100
State FL

Agent

Name Role Address
FLETCHER CHARLES ESQ Agent 12902 MAGNOLIA DRIVE, TAMPA, FL, 336129416

INTE

Name Role Address
FLETCHER CHARLES ESQ. INTE 12902 MAGNOLIA DRIVE, TAMPA, FL, 336129416

Vice President

Name Role Address
PIZZO THE HONORABLE A Vice President 12902 MAGNOLIA DRIVE, TAMPA, FL, 336129416

Executive

Name Role Address
WEISS JOANNA Executive 12902 MAGNOLIA DRIVE, TAMPA, FL, 336129416
LU KAREN AMD Executive 12902 MAGNOLIA DRIVE, TAMPA, FL, 336129416

President

Name Role Address
SINGH SARABDEEP President 12902 MAGNOLIA DRIVE, TAMPA, FL, 336129416

Chairman

Name Role Address
HOUGHTON BETH A Chairman 12902 MAGNOLIA DRIVE, TAMPA, FL, 336129416

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000122325 MOFFITT CANCER CENTER, SOUTHSHORE ACTIVE 2024-10-01 2029-12-31 No data 12902 MAGNOLIA DRIVE, MBC-OGC, TAMPA, FL, 33612
G24000122323 MOFFITT CANCER CENTER AT SOUTHSHORE ACTIVE 2024-10-01 2029-12-31 No data 12902 MAGNOLIA DRIVE, MBC-OGC, TAMPA, FL, 33612
G21000001857 MOFFITT CANCER CENTER ACTIVE 2021-01-05 2026-12-31 No data 12902 MAGNOLIA DRIVE, MBC-OGC, TAMPA, FL, 33612
G21000001850 MOFFITT CANCER CENTER AT INTERNATIONAL PLAZA ACTIVE 2021-01-05 2026-12-31 No data 12902 MAGNOLIA DRIVE, MBC-OGC, TAMPA, FL, 33612
G21000001855 MOFFITT CANCER CENTER AT WESLEY CHAPEL ACTIVE 2021-01-05 2026-12-31 No data 12902 MAGNOLIA DRIVE, MBC-OGC, TAMPA, FL, 33612
G16000103715 MOFFITT COMMON GROUNDS ACTIVE 2016-09-21 2026-12-31 No data 12902 MAGNOLIA DR., M2GEN-INNOV, TAMPA, FL, 33612
G15000056235 MOFFITT MCKINLEY OUTPATIENT CENTER ACTIVE 2015-06-09 2025-12-31 No data H. LEE MOFFITT CANCER CENTER, 12902 MAGNOLIA DRIVE, TAMPA, FL, 33612
G15000056242 MOFFITT MCKINLEY CENTER ACTIVE 2015-06-09 2025-12-31 No data H. LEE MOFFITT CANCER CENTER, 12902 MAGNOLIA DRIVE, TAMPA, FL, 33612
G11000049732 MOFFITT AT INTERNATIONAL PLAZA EXPIRED 2011-05-25 2016-12-31 No data 4101 JIM WALTERS BOULEVARD, TAMPA, FL, 33607
G11000049738 MOFFITT CANCER CENTER AT INTERNATIONAL PLAZA EXPIRED 2011-05-25 2016-12-31 No data 4101 JIM WALTERS BOULEVARD, TAMPA, FL, 33607

Events

Event Type Filed Date Value Description
AMENDED AND RESTATEDARTICLES 2017-12-21 No data No data
AMENDED AND RESTATEDARTICLES 2014-10-10 No data No data
AMENDED AND RESTATEDARTICLES 2014-06-13 No data No data
AMENDED AND RESTATEDARTICLES 1997-12-10 No data No data

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
DELIVERY ORDER AWARD 75N92019F00074 2019-06-03 2022-03-31 2022-03-31
Unique Award Key CONT_AWD_75N92019F00074_7529_HHSN268201600013I_7529
Awarding Agency Department of Health and Human Services
Link View Page

Award Amounts
Obligated Amount 761385.23
Current Award Amount 761385.23
Potential Award Amount 761385.23

Description
Title PRODUCTION ASSISTANCE FOR CELLULAR THERAPIES (PACT)- CELL PROCESSING FACILITIES CELL MANUFACTURING AND PROCESS DEVELOPMENT SERVICES FOR PCT0025-01: FVIII TCR-ENGINEERED TREG CELL PRODUCT
NAICS Code 541712: RESEARCH AND DEVELOPMENT IN THE PHYSICAL, ENGINEERING, AND LIFE SCIENCES (EXCEPT BIOTECHNOLOGY)
Product and Service Codes AN12: HEALTH R&D SERVICES; HEALTH CARE SERVICES; APPLIED RESEARCH

Recipient Details
Recipient H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE HOSPITAL, INC.
UEI DVHKP4N619V9
Recipient Address UNITED STATES, 12902 MAGNOLIA DR, TAMPA, HILLSBOROUGH, FLORIDA, 336129416
DELIVERY ORDER AWARD 75N92019F00036 2018-12-03 2020-06-02 2020-06-02
Unique Award Key CONT_AWD_75N92019F00036_7529_HHSN268201600013I_7529
Awarding Agency Department of Health and Human Services
Link View Page

Award Amounts
Obligated Amount 211273.45
Current Award Amount 211273.45
Potential Award Amount 211273.45

Description
Title PRODUCTION ASSISTANCE FOR CELLULAR THERAPIES (PACT)- CELL PROCESSING FACILITIES CELL MANUFACTURING AND PROCESS DEVELOPMENT SERVICES FOR PCT0005-02: CRYOPRESERVATION TECHNICAL STUDY
NAICS Code 541712: RESEARCH AND DEVELOPMENT IN THE PHYSICAL, ENGINEERING, AND LIFE SCIENCES (EXCEPT BIOTECHNOLOGY)
Product and Service Codes AN12: HEALTH R&D SERVICES; HEALTH CARE SERVICES; APPLIED RESEARCH

Recipient Details
Recipient H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE HOSPITAL, INC.
UEI DVHKP4N619V9
Recipient Address UNITED STATES, 12902 MAGNOLIA DR, TAMPA, HILLSBOROUGH, FLORIDA, 336129416
DELIVERY ORDER AWARD 75N92019F00005 2018-10-31 2020-06-01 2020-06-01
Unique Award Key CONT_AWD_75N92019F00005_7529_HHSN268201600013I_7529
Awarding Agency Department of Health and Human Services
Link View Page

Award Amounts
Obligated Amount 525665.30
Current Award Amount 525665.30
Potential Award Amount 525665.30

Description
Title CELL MANUFACTURING AND PROCESS DEVELOPMENT SVCS.: PCT0003-01: CD4+ CM T CELL EXPANSION USE WITH ALLOHCT
NAICS Code 541712: RESEARCH AND DEVELOPMENT IN THE PHYSICAL, ENGINEERING, AND LIFE SCIENCES (EXCEPT BIOTECHNOLOGY)
Product and Service Codes AN12: HEALTH R&D SERVICES; HEALTH CARE SERVICES; APPLIED RESEARCH

Recipient Details
Recipient H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE HOSPITAL, INC.
UEI DVHKP4N619V9
Recipient Address UNITED STATES, 12902 MAGNOLIA DR, TAMPA, HILLSBOROUGH, FLORIDA, 336129416
DELIVERY ORDER AWARD HHSN26800003 2016-08-30 2025-03-31 2025-03-31
Unique Award Key CONT_AWD_HHSN26800003_7529_HHSN268201400003I_7529
Awarding Agency Department of Health and Human Services
Link View Page

Award Amounts
Obligated Amount 12953435.66
Current Award Amount 12953435.66
Potential Award Amount 12953435.66

Description
Title THE NATIONAL MYELODYSPLASTIC SYNDROMES (MDS) NATURAL HISTORY STUDY, CENTRAL LAB AND BIOREPOSITORY (CLB), TASK ORDER 03
NAICS Code 541712: RESEARCH AND DEVELOPMENT IN THE PHYSICAL, ENGINEERING, AND LIFE SCIENCES (EXCEPT BIOTECHNOLOGY)
Product and Service Codes AN11: HEALTH R&D SERVICES; HEALTH CARE SERVICES; BASIC RESEARCH

Recipient Details
Recipient H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE HOSPITAL, INC.
UEI DVHKP4N619V9
Recipient Address UNITED STATES, 12902 MAGNOLIA DR, TAMPA, HILLSBOROUGH, FLORIDA, 336129416
DELIVERY ORDER AWARD HHSN26800002 2015-09-01 2018-06-29 2018-06-29
Unique Award Key CONT_AWD_HHSN26800002_7529_HHSN268201400003I_7529
Awarding Agency Department of Health and Human Services
Link View Page

Award Amounts
Obligated Amount 1317908.89
Current Award Amount 1317908.89
Potential Award Amount 1317908.89

Description
Title CLOSEOUT MODIFICATION
NAICS Code 541712: RESEARCH AND DEVELOPMENT IN THE PHYSICAL, ENGINEERING, AND LIFE SCIENCES (EXCEPT BIOTECHNOLOGY)
Product and Service Codes AN11: HEALTH R&D SERVICES; HEALTH CARE SERVICES; BASIC RESEARCH

Recipient Details
Recipient H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE HOSPITAL, INC.
UEI DVHKP4N619V9
Recipient Address UNITED STATES, 12902 MAGNOLIA DR, TAMPA, HILLSBOROUGH, FLORIDA, 336129416
No data IDV HHSN268201400003I 2014-09-04 No data No data
Unique Award Key CONT_IDV_HHSN268201400003I_7529
Awarding Agency Department of Health and Human Services
Link View Page

Award Amounts
Obligated Amount 0.00
Potential Award Amount 15459224.82

Description
Title IPP - THE NATIONAL MYELODYSPLASTIC SYNDROMES (MDS) NATURAL HISTORY STUDY- CENTRAL LABORATORY AND BIOREPOSITORY
NAICS Code 541712: RESEARCH AND DEVELOPMENT IN THE PHYSICAL, ENGINEERING, AND LIFE SCIENCES (EXCEPT BIOTECHNOLOGY)
Product and Service Codes AN11: HEALTH R&D SERVICES; HEALTH CARE SERVICES; BASIC RESEARCH

Recipient Details
Recipient H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE HOSPITAL, INC.
UEI DVHKP4N619V9
Recipient Address UNITED STATES, 12902 MAGNOLIA DR, TAMPA, HILLSBOROUGH, FLORIDA, 336129416

Related by officers

FLETCHER CHARLES ESQ.

H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE LIFETIME CANCER SCREENING CENTER, INC.

WEISS JOANNA

SIMPLY READ LITERACY CORPORATION H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE LIFETIME CANCER SCREENING CENTER, INC.

SINGH SARABDEEP

H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE FOUNDATION, INC. H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE, INC.

FLETCHER CHARLES ESQ

H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE LIFETIME CANCER SCREENING CENTER, INC.

HOUGHTON BETH A

HOUGHTON FINANCIAL MANAGEMENT, LLC HOUGHTON CAPITAL PARTNERS, LLC WALSH PAINTING AND CONTRACTING, INC. HOUGHTON-WAGMAN ENTERPRISES, INC. SCOTT TESTING CENTERS, INC. SIGNATURE BANK MYBUYERSWIN, INC. WIRELESS DATA COMMUNICATIONS CORPORATION HW PROPERTIES, LTD. HEARTS&HANDS PERSONAL ASSISTANCE, LLC

Related by address

12902 MAGNOLIA DRIVE, TAMPA, FL, 33612-9416, US

H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE FOUNDATION, INC. H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE, INC. H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE LIFETIME CANCER SCREENING CENTER, INC.

12902 MAGNOLIA DRIVE, MBC-OGC, TAMPA, FL, 33612-9416, US

H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE LIFETIME CANCER SCREENING CENTER, INC.

Date of last update: 02 Jan 2025

Sources: Florida Department of State

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