Organization · Type 2 NPI

Florida Institute of Research, Medicine, and Surgery, P.a.

Hematology & Oncology Physician · Winter Park, FL

NPI number 1790074342 Active

Practice location

1561 W. Fairbanks Avenue, Suite 300
Winter Park, FL 32789-4678

Fax (407) 339-8670

Mailing address

70 W. Gore Street, Suite 100, Credentialing Department
Orlando, FL 32806-1124

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003X601044 (FL)

Hematology & Oncology Physician: 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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About NPI 1790074342

Florida Institute of Research, Medicine, and Surgery, P.a.'s National Provider Identifier is 1790074342, issued on Apr 5, 2011. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Winter Park, FL. The record was last updated on Apr 5, 2011.