Organization
FLORIDA HEMATOLOGY & ONCOLOGY CENTER P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE ARCHAK DERMARKAR M.D. (CEO)
(813) 684-2339
Entity
Organization
Contact information
Practice address
401 VONDERBURG DR, BRANDON, FL 33511-5963
(813) 684-2339
Mailing address
PO BOX 987, BRANDON, FL 33509-0987
(813) 684-2339
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3130788
AETNA IDENTIFIER
FL
Enumeration date
02/22/2007
Last updated
08/02/2012
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