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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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