Organization
TAMPA BAY AREA CANCER CONSULTANTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
D ANDA NORBERGS MD (PRESIDENT)
(727) 789-2595
Entity
Organization
Contact information
Practice address
4114 WOODLANDS PKWY, SUITE 301, PALM HARBOR, FL 34685-3494
(727) 789-2595
(727) 450-1058
Mailing address
PO BOX 850001, ORLANDO, FL 32885-0306
(727) 789-2595
(727) 789-8891
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME0056118
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09165
BCBSFL
FL
01
—
09165A
MEDICARE UNSPEC
FL
01
—
1851351985
NPI GROUP
FL
01
—
DA6603
RRW MEDICARE GRP
FL
01
—
P00066801
RRW MEDICARE INDIVIDUAL
FL
Enumeration date
03/24/2006
Last updated
04/25/2008
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