J. Paonessa M.D. P.A.
Specialist in Tampa, FL. Organization (NPI-2).
NPI number1760620181
StatusActive
Last updated in NPPESMay 19, 2009
Details
- NPI
- 1760620181
- Entity type
- Organization (NPI-2)
- Legal business name
- J. Paonessa M.D. P.A.
- Organization subpart
- No
- Enumeration date
- Jan 22, 2009
- Last updated
- May 19, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Gulfcoast Oncology Associates (Doing Business As)
Practice location
3200 Medical Park DriveSuite 520
Tampa, FL 33613-7112
Phone 813-977-0347 · Fax 813-977-0429
Mailing address
1201 5th Ave NSuite 505
St Petersburg, FL 33705-1455
Phone 727-821-0012 · Fax 727-502-8860
Authorized official
Ryan Ciarrocchi
Cfo
7278244601
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