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Organization

ONCOLOGY PHYSICIANS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES ATHAN BROOKS MD (PRESIDENT)
(727) 725-8102
Entity
Organization

Contact information

Practice address
3253 N MCMULLEN BOOTH RD, SUITE 100, CLEARWATER, FL 33761-2043
(727) 725-8102
(727) 796-7009
Mailing address
3253 N MCMULLEN BOOTH RD STE 100, CLEARWATER, FL 33761-2043
(727) 725-8102
(727) 796-7009

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
ME34925
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
265956500
FL
Enumeration date
07/13/2005
Last updated
09/29/2008
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