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Organization
CANCER CENTERS OF CENTRAL FLORIDA PA
Active
Organization
CANCER CENTERS OF CENTRAL FLORIDA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMBABU TUMMALA MD (PRESIDENT)
(352) 787-3341
Entity
Organization
Contact information
Practice address
9832 US HIGHWAY 441, STE 101, LEESBURG, FL 34788-3966
(352) 787-3341
(352) 787-7491
Mailing address
9832 US HIGHWAY 441, STE 101, LEESBURG, FL 34788-3966
(352) 787-3341
(352) 787-7491
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME71127
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259000000
—
FL
01
—
31507
FLORIDA BLUE
FL
Enumeration date
11/10/2005
Last updated
05/06/2014
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