Healthcare Provider Details

I. General information

NPI: 1477807477
Provider Name (Legal Business Name): HEM ONC ASSOCIATES OF THE TREASURE COAST, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2012
Last Update Date: 02/10/2022
Certification Date: 11/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2081 SE OCEAN BLVD STE 2A
STUART FL
34996-3348
US

IV. Provider business mailing address

1871 SE TIFFANY AVE SUITE 100
PORT ST LUCIE FL
34952-7596
US

V. Phone/Fax

Practice location:
  • Phone: 772-223-5982
  • Fax: 223-599-5998
Mailing address:
  • Phone: 772-335-5666
  • Fax: 772-335-3781

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. NICHOLAS O IANNOTTI
Title or Position: PRESIDENT
Credential: M.D.
Phone: 772-335-5666