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Patriot Oncology Llc
Oncology Clinic/Center in St Augustine, Florida
NPI 1770142523

Patriot Oncology Llc is a Oncology Clinic/Center based in St Augustine, FL and is specialized in Oncology. Patriot Oncology Llc practices in St Augustine, FL. The NPI Number for Patriot Oncology Llc is 1770142523 and holds a License No. (Florida).

The current practice location address for Patriot Oncology Llc is 100 Arricola Ave, St Augustine, FL and can be reached out via phone at 904-825-4368.

Location: 100 Arricola Ave, St Augustine, FL, 32080-4515
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770142523
Provider Name
Patriot Oncology Llc
Credential
Provider Entity Type
Organization
Address
100 Arricola Ave, St Augustine, FL, 32080-4515
Phone Number
904-825-4368
Fax Number
Provider Enumeration Date
06/06/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09732A 01 FL MEDICARE
institution
Provider Business Practice Location Address Details
Address
100 Arricola Ave
City
St Augustine
State
Florida
Zip
32080-4515
Phone Number
904-825-4368
Fax Number
person
Provider Business Mailing Address Details
Address
100 Arricola Ave
City
St Augustine
State
Florida
Zip
32080-4515
Phone Number
904-825-4368
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Oncology
Taxonomy
261QX0200X
License No.
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Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents.
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