Organization
RADIATION ONCOLOGY OF WEST FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG R MIERCORT M.D. (PROVIDER)
(813) 754-7756
Entity
Organization
Contact information
Practice address
1201 5TH AVE NORTH, SUITE 130, ST PETERSBURG, FL 33705
(727) 825-1253
(727) 825-1332
Mailing address
117 WEST ALEXANDER ST, PMB 387, PLANT CITY, FL 33563
(813) 754-7756
(813) 754-7565
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME87496
FL
Other
Enumeration date
07/19/2007
Last updated
07/19/2007
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