Healthcare Provider Details

I. General information

NPI: 1548743768
Provider Name (Legal Business Name): HEM-ONC STAFFING SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2018
Last Update Date: 08/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6605 W BROAD ST
RICHMOND VA
23230-1714
US

IV. Provider business mailing address

2700 N MACDILL AVE STE 209
TAMPA FL
33607-2273
US

V. Phone/Fax

Practice location:
  • Phone: 804-287-3000
  • Fax: 804-200-6229
Mailing address:
  • Phone: 813-350-9002
  • Fax: 813-354-3345

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. BRUCE HOUGH
Title or Position: PRESIDENT
Credential: MD
Phone: 813-350-9002