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Organization

FLORIDA ONCOLOGY TAVARES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID DIAMOND M.D. (MGRM)
(352) 742-3045
Entity
Organization

Contact information

Practice address
2010 NIGHTINGALE LN, TAVARES, FL 32778-4361
(352) 742-3045
Mailing address
2010 NIGHTINGALE LANE, TAVARES, FL 32778-4361

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME78350
FL

Other

Enumeration date
03/05/2015
Last updated
10/29/2015
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