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East Lake Oncology
Hematology & Oncology Physician in Palm Harbor, Florida
NPI 1528275781

East Lake Oncology is a Hematology & Oncology Physician based in Palm Harbor, FL and is specialized in Hematology & Oncology. East Lake Oncology practices in Palm Harbor, FL. The NPI Number for East Lake Oncology is 1528275781 and holds a License No. ME0056118 (Florida).

The current practice location address for East Lake Oncology is 4114 Woodlands Pkwy, Palm Harbor, FL and can be reached out via phone at 727-789-2595 and via fax at 727-789-8891.

Location: 4114 Woodlands Pkwy, Palm Harbor, FL, 34685-3450
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1528275781
Provider Name
East Lake Oncology
Credential
Provider Entity Type
Organization
Address
4114 Woodlands Pkwy, Palm Harbor, FL, 34685-3450
Phone Number
727-789-2595
Fax Number
727-789-8891
Provider Enumeration Date
05/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09165 01 FL BCBSFL
DG4665 01 RRW MEDICARE
09165Y 01 FL MEDICARE UNSPEC
institution
Provider Business Practice Location Address Details
Address
4114 Woodlands Pkwy
City
Palm Harbor
State
Florida
Zip
34685-3450
Phone Number
727-789-2595
Fax Number
727-789-8891
person
Provider Business Mailing Address Details
Address
4114 Woodlands Pkwy
City
Palm Harbor
State
Florida
Zip
34685-3450
Phone Number
727-789-2595
Fax Number
727-789-8891
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
ME0056118 (Florida)
Definition
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.
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