is a Pediatric Hematology-oncology in Winter Park, Florida. practices all healthcare services and medical treatments related to Pediatric Hematology-oncology. The NPI Number for is 1093766602. The last update date is .
's current location address is 2830 Casa Aloma Way, Winter Park, Florida. You can contact this provider via phone number 4073354760 and fax number 8776958583. The mailing address for is 2830 Casa Aloma Way, Winter Park, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 2830 Casa Aloma Way, Winter Park, Florida |
Phone Number | 4073354760 |
Fax Number | 8776958583 |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1093766602 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 2830 Casa Aloma Way |
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City | Winter Park |
State | Florida (FL) |
Post Code | 327922272 |
Phone Number | 4073354760 |
Fax Number | 8776958583 |
Provider's Primary Taxonomy Detail
Speciality | Pediatric Hematology-oncology |
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Taxonomy | 2080P0207X |
Licence No | ME64462 |
Definition: A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
68655 | FL | BCBS | |
8300002206 | RAILROAD MEDICARE | ||
373520600 | FL | -- |
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