# PEDIATRIC HEMATOLOGY/ONCOLOGY ASC PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477511970
- **Authorized official:** DR. JERRY L BARBOSA M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (727) 767-4231

## Contact information

- **Practice address:** 880 6TH ST S, SUITE 140, ST PETERSBURG, FL 33701-4827
- **Practice address phone:** (727) 767-4231
- **Mailing address:** 880 6TH ST S, SUITE 140, ST PETERSBURG, FL 33701-4827
- **Mailing address phone:** (727) 767-4231

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080P0207X | Pediatric Hematology & Oncology Physician | — | NULL | Yes |
| 2080P0207X | Pediatric Hematology & Oncology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/03/2006
- **Last updated:** 08/22/2020