HEMATOLOGY ONCOLOGY ASSOCIATES OF CENTRAL BREVARD - NPI 1700960143

Q: What is Hematology Oncology Associates Of Central Brevard's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

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About Hematology Oncology Associates Of Central Brevard NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEMATOLOGY ONCOLOGY ASSOCIATES OF CENTRAL BREVARD (NPI 1700960143) is a healthcare organization registered as a hematology & oncology in Rockledge, Florida and active in the NPI registry since October 2006. The organization lists Gail Knight Erentreich, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1700960143

Entity TypeOrganization

Primary Taxonomy207RH0003X

Legal Business NameHEMATOLOGY ONCOLOGY ASSOCIATES OF CENTRAL BREVARD

Location Address107 LONGWOOD AVERockledge, FL 32955-2827

Mailing Address107 Longwood AveRockledge, FL 32955-2827 · (321) 636-2111 · Fax (321) 636-9219

Phone(321) 636-2111

Fax(321) 636-9219

Organization SubpartNo

Authorized OfficialGail Knight ErentreichPractice Manager · (321) 636-2111

Enumeration DateOctober 24, 2006

Last NPPES UpdateNovember 26, 2007

✔ NPI 1700960143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

Definition

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.

107 LONGWOOD AVE, Rockledge, FL 32955

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Other Identifiers 1

Medicare ID-Type Unspecified24168FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. KAITLYN SHEA MELLICK CF-SLP

Speech-Language Pathologist