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Florida Cancer Physicians Network LLC

in Brandon, FL. Organization (NPI-2).

NPI number1528371069
StatusActive
Last updated in NPPESSep 24, 2012

Details

NPI
1528371069
Entity type
Organization (NPI-2)
Legal business name
Florida Cancer Physicians Network LLC
Organization subpart
No
Enumeration date
Jul 26, 2010
Last updated
Sep 24, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0001X ––Yes

Other names

  • Tampa Bay Cancer Center (Doing Business As)

Practice location

717 W Robertson St
Brandon, FL 33511-4921

Phone 813-661-6339 · Fax 813-661-6442

Mailing address

2715 W Virginia Ave
Tampa, FL 33607-6327

Phone 813-662-6024 · Fax 813-514-1257

Authorized official

Nick Hernandez
Vp Indiana & S Florida Operations
8136626024

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