Organization
VERO BEACH HEMATOLOGY ONCOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEMA NAGANEMI RAO M.D. (PRESIDENT)
(772) 299-4255
Entity
Organization
Contact information
Practice address
981 37TH PL, VERO BEACH, FL 32960-6541
(772) 299-4255
(772) 299-3580
Mailing address
981 37TH PL, VERO BEACH, FL 32960-6541
(772) 299-4255
(772) 299-3580
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
ME0077699
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45956
BLUE SHIELD GROUP
FL
01
—
CJ7577
RAILROAD MEDICARE GRP
FL
Enumeration date
11/03/2005
Last updated
08/22/2020
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