Organization
CRIS ONCOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO H CRISOSTOMO (SOLE MEMBER)
(407) 637-4687
Entity
Organization
Contact information
Practice address
201 HILDA ST, SUITE 33, KISSIMMEE, FL 34741-2320
(407) 637-4687
Mailing address
201 HILDA ST, SUITE 33, KISSIMMEE, FL 34741-2320
(407) 637-4687
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME89846
FL
Other
Enumeration date
07/21/2015
Last updated
07/21/2015
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