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J PAONESSA MD PA NPI 1225019649


NPI Information

NPI: 1225019649
Provider Name: J PAONESSA MD PA

Doing Business As: GULFCOAST ONCOLOGY ASSOCIATES

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
1201 5TH AVENUE NORTH
SUITE 505
ST. PETERSBURG, FL
ZIP 33705
Phone: (727) 821-0017
Get Directions

J PAONESSA MD PA is a hematology and oncology internal medicine in St. Petersburg, FL. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. J PAONESSA MD PA NPI is 1225019649. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Gulfcoast Oncology Associates.

The provider's business location address is:

1201 5TH AVENUE NORTH
SUITE 505
ST. PETERSBURG, FL
ZIP 33705
Phone: (727) 821-0017
Fax: (727) 895-0328

The provider's authorized official is Marulyn J Frystak .
The authorized official title is Coo and has the following contact phone number (727) 821-0017.

The enumeration date for this NPI number is 11/11/2005 and was last updated on 11/24/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RH0003XInternal MedicineHematology & OncologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
133119MEDICARE UPINFLORIDA
21168350002MEDICARE NSCFLORIDA
333119MEDICARE PINFLORIDA
4376230100MEDICAIDFLORIDA
51168350001MEDICARE NSCFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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