Organization
GUILLERMO ABESADA-TERK JR MD PA
Active
Other names
Coastal Oncology and Hematology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUILLERMO ABESADA-TERK JR. MD (OWNER PRACTICE MD)
(772) 223-5952
Entity
Organization
Contact information
Practice address
501 SE OSCEOLA ST, SUITE 201, STUART, FL 34994-2301
(772) 223-5952
(772) 223-5956
Mailing address
501 SE OSCEOLA ST, SUITE 201, STUART, FL 34994-2301
(772) 223-5952
(772) 223-5956
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME58862
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
052407700
—
FL
01
—
11877
BCBS OF FL
FL
01
—
7649249001
CIGNA
FL
Enumeration date
02/23/2006
Last updated
10/25/2012
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