Organization
HEM ONC ASSOCIATES OF THE TREASURE COAST, PA
Active
Organization
HEM ONC ASSOCIATES OF THE TREASURE COAST, PA
Active
Other names
Hematology-Oncology Associates of the Treasure Coast
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS O IANNOTTI M.D. (SECRETARY)
(772) 335-5666
Entity
Organization
Contact information
Practice address
1871 S.E. TIFFANY AVENUE, SUITE #100, PORT ST LUCIE, FL 34952-7596
(772) 335-5666
(772) 335-3781
Mailing address
1871 S.E. TIFFANY AVENUE, SUITE #100, PORT ST LUCIE, FL 34952-7596
(772) 335-5666
(772) 335-3781
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251297100
—
FL
01
—
40806
MEDICARE PTAN
FL
Enumeration date
05/25/2006
Last updated
08/12/2015
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