Organization
J. PAONESSA M.D. P.A.
Active
Other names
Gulfcoast Oncology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN CIARROCCHI (CFO)
(727) 824-4601
Entity
Organization
Contact information
Practice address
303 PINELLAS ST, SUITE 330, CLEARWATER, FL 33756-3809
(727) 447-8100
(727) 446-3107
Mailing address
1201 5TH AVE N, SUITE 505, ST PETERSBURG, FL 33705-1455
(727) 821-0017
(727) 502-8860
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376230100
—
FL
Enumeration date
08/29/2007
Last updated
11/01/2010
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