Organization
COMPREHENSIVE HEMATOLOGY ONCOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRATIBHA KIRIT DESAI MD (OWNER)
(727) 344-6569
Entity
Organization
Contact information
Practice address
5000 PARK ST N STE 1017, SAINT PETERSBURG, FL 33709-2236
(727) 344-6570
(727) 384-4388
Mailing address
3611 LITTLE RD, TRINITY, FL 34655-1813
(727) 312-4300
(727) 312-4335
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
—
—
207RH0003X
Hematology & Oncology Physician
Primary
—
—
207RX0202X
Medical Oncology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102287000
—
FL
05
—
102287002
—
FL
05
—
102287005
—
FL
05
—
102287006
—
FL
05
—
102287007
—
FL
05
—
378208500
—
FL
01
—
6966071
AETNA
FL
01
—
A4Z4F
BCBS OF FLORIDA
FL
Enumeration date
02/18/2019
Last updated
06/20/2024
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