Organization
PREMIER RADIATION ONCOLOGY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUBRAE RUSSOLELLO (OFFICE MANAGER)
(727) 669-9018
Entity
Organization
Contact information
Practice address
3155 N MCMULLEN BOOTH RD, CLEARWATER, FL 33761-2008
(727) 669-9018
(727) 669-4308
Mailing address
3155 N MCMULLEN BOOTH RD, CLEARWATER, FL 33761-2008
(727) 669-9018
(727) 669-4308
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
03/09/2020
Last updated
09/28/2020
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