Organization
PHYSICIANS FOR A COMMUNITY UNITED FOR RESEARCH AND EDUCATION LLC
Active
Other names
Tampa Bay Cancer Center
Organization subpart
No
Provider details
NPI number
Authorized official
SHYAM B PARYANI MD (PRESIDENT)
(904) 346-3338
Entity
Organization
Contact information
Practice address
717 W ROBERTSON ST, BRANDON, FL 33511-4921
(813) 661-6339
(813) 661-6442
Mailing address
PO BOX 19633, JACKSONVILLE, FL 32245-9633
(904) 346-3338
(904) 346-0815
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000419804
—
FL
01
—
33201
BCBS
FL
Enumeration date
01/03/2011
Last updated
03/01/2011
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