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Organization

BAY AREA GYNECOLOGICAL ONCOLOGY, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JIMMY BURNETT (VP)
(727) 848-3944
Entity
Organization

Contact information

Practice address
5622 MARINE PKWY, # 18, COLONIAL MEDICAL CTR., NEW PORT RICHEY, FL 34652-4333
(727) 848-3944
Mailing address
5622 MARINE PKWY, # 18, COLONIAL MEDICAL CTR., NEW PORT RICHEY, FL 34652-4333
(727) 848-3944

Taxonomy

Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary

Other

Enumeration date
05/31/2006
Last updated
08/22/2020
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