Provider Demographics
NPI:1477807477
Name:HEM ONC ASSOCIATES OF THE TREASURE COAST, PA
Entity Type:Organization
Organization Name:HEM ONC ASSOCIATES OF THE TREASURE COAST, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:O
Authorized Official - Last Name:IANNOTTI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:772-335-5666
Mailing Address - Street 1:1871 SE TIFFANY AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34952-7596
Mailing Address - Country:US
Mailing Address - Phone:772-335-5666
Mailing Address - Fax:772-335-3781
Practice Address - Street 1:2081 SE OCEAN BLVD STE 2A
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34996-3348
Practice Address - Country:US
Practice Address - Phone:772-223-5982
Practice Address - Fax:223-599-5998
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEM ONC ASSOCIATES OF THE TREASURE COAST, PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-10-30
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty