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NPI Code Detail

MEDICARE: AMERICAN ONCOLOGY NETWORK LLC

MEDICARE: AMERICAN ONCOLOGY NETWORK LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0000XHematology (Internal Medicine) Physician
2207RX0202XMedical Oncology Physician
3207RH0003XHematology & Oncology Physician

General Provider Information

NPI Number : 1831622299
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMERICAN ONCOLOGY NETWORK LLC
Provider Business Mailing Address
First Line : 9160 FORUM CORPORATE PKWY
Second Line : SUITE 350
City : FORT MYERS
State : FL
Zip : 33905-7805
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9160 FORUM CORPORATE PKWY
Second Line : SUITE 350
City : FORT MYERS
State : FL
Zip : 33905-7805
Country : US
Telephone Number : 239-262-8502
Fax Number :
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : STEVE ORMAN
Credential : MD
Telephone Number : 239-274-8200
Provider Enumeration Date : 04/04/2017
Last Update Date : 04/04/2017

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Directions to “AMERICAN ONCOLOGY NETWORK LLC ” Practice Location

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