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NPI Code Detail

MEDICARE: ONCOLOGY HEMATOLOGY ASSOCIATES PA

MEDICARE: ONCOLOGY HEMATOLOGY ASSOCIATES PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0003XHematology & Oncology Physician

General Provider Information

NPI Number : 1740247576
Entity Type Code : Organization
Provider Name (Legal Business Name) : ONCOLOGY HEMATOLOGY ASSOCIATES PA
Provider Business Mailing Address
First Line : 401 MANATEE AVE E
Second Line : SUITE B
City : BRADENTON
State : FL
Zip : 34208-1143
Country : US
Telephone Number : 941-748-2217
Fax Number : 941-748-5300
Provider Business Practice Location Address
First Line : 401 MANATEE AVE E
Second Line : SUITE B
City : BRADENTON
State : FL
Zip : 34208-1143
Country : US
Telephone Number : 941-748-2217
Fax Number : 941-748-5300
Authorized Official
Title or Position : ADMINISTRATOR
Name : MS. MARY S FICO
Credential : CMM
Telephone Number : 941-748-2217
Provider Enumeration Date : 04/26/2006
Last Update Date : 08/22/2020

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Directions to “ONCOLOGY HEMATOLOGY ASSOCIATES PA ” Practice Location

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