Organization
ATLANTIC HEMATOLOGY AND ONCOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AWAIS M KHAN MD (MEDICAL DIRECTOR)
(386) 401-6688
Entity
Organization
Contact information
Practice address
42 CAROLINE ST UNIT A, BUNNELL, FL 32110-8904
(386) 401-6688
Mailing address
42 CAROLINE ST UNIT A, BUNNELL, FL 32110-8904
Taxonomy
Speciality
Code
Description
License number
State
261QX0200X
Oncology Clinic/Center
Primary
—
—
Other
Enumeration date
08/15/2018
Last updated
10/15/2018
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