Organization
PRECISION CANCER CONSULTANTS LLC
Active
Other names
Clarified Precision Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JODY SIMON (MANAGER)
(813) 969-1722
Entity
Organization
Contact information
Practice address
14502 N DALE MABRY HWY STE 200, TAMPA, FL 33618-2040
(813) 575-6880
(813) 969-0910
Mailing address
14502 N DALE MABRY HWY STE 200, TAMPA, FL 33618-2040
(813) 575-6880
(813) 969-0910
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
261QG0250X
Genetics Clinic/Center
—
—
261QX0200X
Oncology Clinic/Center
—
—
Other
Enumeration date
12/22/2020
Last updated
04/05/2022
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