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METCARE ONCOLOGY NPI 1720462773


NPI Information

NPI: 1720462773
Provider Name: METCARE ONCOLOGY
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
1200 W GRANADA BLVD
SUITE 1
ORMOND BEACH, FL
ZIP 32174
Phone: (386) 615-1056
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METCARE ONCOLOGY is a hematology and oncology internal medicine in Ormond Beach, 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. METCARE ONCOLOGY NPI is 1720462773. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1200 W GRANADA BLVD
SUITE 1
ORMOND BEACH, FL
ZIP 32174-156
Phone: (386) 615-1056
Fax: (386) 615-1033

The provider's authorized official is Gemma Rosello .
The authorized official title is Vice President and has the following contact phone number (561) 805-8530.

The enumeration date for this NPI number is 7/18/2015 and was last updated on 6/10/2016.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PTANOTHERFLORIDACX415B

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: 5/5/2024

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