Provider Demographics
NPI:1598548299
Name:ONCOLOGY CARE PARTNERS OF FLORIDA LLC
Entity Type:Organization
Organization Name:ONCOLOGY CARE PARTNERS OF FLORIDA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SVP
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:EAGLETON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-323-0445
Mailing Address - Street 1:9400 NW 12TH AVE BAY 6
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33150-2025
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9400 NW 12TH AVE BAY 6
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33150-2025
Practice Address - Country:US
Practice Address - Phone:305-779-0040
Practice Address - Fax:786-401-1394
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ONCOLOGY CARE PARTNERS OF FLORIDA LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-08-16
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site