Healthcare Provider Details

I. General information

NPI: 1780852848
Provider Name (Legal Business Name): UNITED ONCOLOGY MEDICAL ASSOCIATES OF FLORIDA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2008
Last Update Date: 07/10/2023
Certification Date: 07/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8700 SW 88TH STREET, SUITE 100
MIAMI FL
33176-2212
US

IV. Provider business mailing address

8700 SW 88TH STREET, SUITE 100
MIAMI FL
33176-2212
US

V. Phone/Fax

Practice location:
  • Phone: 305-271-1515
  • Fax: 305-271-1115
Mailing address:
  • Phone: 305-271-1515
  • Fax: 305-271-1115

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State

VIII. Authorized Official

Name: DAVID EAGLETON
Title or Position: SVP
Credential:
Phone: 314-323-0445