Organization
PATRIOT ONCOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROY H HINMAN MD (CEO/CMO)
(904) 825-4368
Entity
Organization
Contact information
Practice address
588 STERTHAUS DR, ORMOND BEACH, FL 32174-5128
(904) 825-4368
Mailing address
100 ARRICOLA AVE, ST AUGUSTINE, FL 32080-4515
Taxonomy
Speciality
Code
Description
License number
State
261QX0200X
Oncology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09732A
MEDICARE
FL
Enumeration date
06/06/2019
Last updated
02/19/2026
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