Healthcare Provider Details
I. General information
NPI: 1437074234
Provider Name (Legal Business Name): PREONCOLOGY INSTITUTE PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
114 FRONT ST
JUPITER FL
33477-5082
US
IV. Provider business mailing address
114 FRONT ST
JUPITER FL
33477-5082
US
V. Phone/Fax
- Phone: 561-839-9653
- Fax: 561-268-0124
- Phone: 561-839-9653
- Fax: 561-268-0124
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RX0202X |
| Taxonomy | Medical Oncology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JOSE
BARREAU
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 513-205-9987