Healthcare Provider Details
I. General information
NPI: 1861441420
Provider Name (Legal Business Name): THE CENTER FOR HEMATOLOGY ONCOLOGY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/09/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6282 LINTON BLVD
DELRAY BEACH FL
33484-6416
US
IV. Provider business mailing address
6282 LINTON BLVD
DELRAY BEACH FL
33484-6416
US
V. Phone/Fax
- Phone: 561-495-8307
- Fax: 561-499-3874
- Phone: 561-495-8307
- Fax: 561-499-3874
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
STEPHEN
A
GRABELSKY
Title or Position: TREASURER
Credential: M.D.
Phone: 561-495-8307