Provider Demographics
NPI:1972862555
Name:HEMATOLOGY ONCOLOGY SOLUTIONS OF TALLAHASSEE LLC
Entity Type:Organization
Organization Name:HEMATOLOGY ONCOLOGY SOLUTIONS OF TALLAHASSEE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:AMANZE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:850-727-8540
Mailing Address - Street 1:1309 THOMASWOOD DR
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-7915
Mailing Address - Country:US
Mailing Address - Phone:850-727-8540
Mailing Address - Fax:850-765-8674
Practice Address - Street 1:1309 THOMASWOOD DR
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-7915
Practice Address - Country:US
Practice Address - Phone:850-727-8540
Practice Address - Fax:850-765-8674
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-16
Last Update Date:2014-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME94463207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty