PALM COAST ONCOLOGY NPI 1861689424

NPI Information

  • NPI: 1861689424
  • Provider Name: PALM COAST ONCOLOGY
  • Classification: Internal Medicine - 207RH0003X
  • Specialization: Hematology & Oncology
  • Entity Type: Organization
  • Address: 61 MEMORIAL MEDICAL PKWY
    SUITE 3808
    PALM COAST, FL
    ZIP 32164
  • Phone: (386) 586-2889

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NPI Details

PALM COAST ONCOLOGY is a hematology and oncology internal medicine in Palm Coast, 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. PALM COAST ONCOLOGY NPI is 1861689424. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

61 MEMORIAL MEDICAL PKWY
SUITE 3808
PALM COAST, FL
ZIP 32164-981
Phone: (386) 586-2889
Fax: (386) 586-2890

The provider's authorized official is Philip Ndep Ndum .
The authorized official title is President Of Corporation and has the following contact phone number (386) 586-2889.

The enumeration date for this NPI number is 9/27/2007 and was last updated on 4/20/2008.

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 & OncologyME88511FLORIDAYes

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
1=========OTHERFLORIDATAX ID NUMBER
2H31618MEDICARE UPINFLORIDA
3K6195MEDICARE PINFLORIDA
481334SMEDICARE PIN
5ME88511OTHERFLORIDASTATE MEDICAL LICENSE

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: 11/21/2025

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