Organization
BAY AREA ONCOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFAEL WILLIAM BLANCO M. D. (PRESIDENT)
(813) 875-2300
Entity
Organization
Contact information
Practice address
4301 N HABANA AVE, SUITE 1, TAMPA, FL 33607-6546
(813) 875-2300
(813) 876-5661
Mailing address
4301 N HABANA AVE, SUITE 1, TAMPA, FL 33607-6546
(813) 875-2300
(813) 876-5661
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME30523
FL
Other
Enumeration date
08/10/2006
Last updated
08/22/2020
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