# J. PAONESSA M.D.P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gulfcoast Oncology Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932393436
- **Authorized official:** MR. RYAN CIARROCCHI (CFO)
- **Authorized official phone:** (727) 824-4601

## Contact information

- **Practice address:** 4612 N HABANA AVE, TAMPA, FL 33614-7112
- **Practice address phone:** (813) 875-2341
- **Practice address fax:** (813) 877-3889
- **Mailing address:** 1201 5TH AVE N, SUITE 505, ST PETERSBURG, FL 33705-1455
- **Mailing address phone:** (727) 821-0017
- **Mailing address fax:** (727) 502-8860

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | — |
| 174400000X | Specialist | — | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 08/29/2007
- **Last updated:** 11/01/2010