Organization
J PAONESSA MD PA
Active
Other names
Gulfcoast Oncology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MARULYN J FRYSTAK (COO)
(727) 821-0017
Entity
Organization
Contact information
Practice address
1201 5TH AVENUE NORTH, SUITE 505, ST. PETERSBURG, FL 33705
(727) 821-0017
(727) 895-0328
Mailing address
1201 5TH AVENUE NORTH, SUITE 505, ST. PETERSBURG, FL 33705
(727) 821-0017
(727) 502-8861
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376230100
—
FL
Enumeration date
11/11/2005
Last updated
11/24/2010
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