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Organization
CANCER INSTITUTE OF FLORIDA PA
Active
Organization
CANCER INSTITUTE OF FLORIDA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA TYO-GROOTEN (CREDENTIALING SPECIALIST)
(407) 215-7794
Entity
Organization
Contact information
Practice address
894 E ALTAMONTE DR, ALTAMONTE SPRINGS, FL 32701-5002
(407) 215-7794
(407) 215-7799
Mailing address
894 E ALTAMONTE DR, ALTAMONTE SPRINGS, FL 32701-5002
(407) 215-7794
(407) 215-7799
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
12/06/2006
Last updated
11/05/2007
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