Organization Active NPI

Florida Hematology & Oncology Center P.a.

  • Hematology & Oncology Physician
  • Brandon, FL
National Provider Identifier
1346375029
Registry record updated Aug 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
FLORIDA HEMATOLOGY & ONCOLOGY CENTER P.A.
Practice address
401 Vonderburg Dr
Brandon, FL 33511-5963
Phone
(813) 684-2339
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
George Archak Dermarkar, M.D.
Title
Ceo
Phone
(813) 684-2339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X Primary

Addresses

Primary practice location

401 Vonderburg Dr
Brandon, FL 33511-5963

Mailing address

PO Box 987
Brandon, FL 33509-0987
Phone (813) 684-2339

Other identifiers 1

IdentifierTypeStateIssuer
3130788OtherFLAETNA IDENTIFIER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343865600000",
    "number": "1346375029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 987",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335090987",
            "telephone_number": "813-684-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 VONDERBURG DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115963",
            "telephone_number": "813-684-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA HEMATOLOGY & ONCOLOGY CENTER P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2012-08-02",
        "status": "A",
        "authorized_official_last_name": "DERMARKAR",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "ARCHAK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-684-2339",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA IDENTIFIER",
            "identifier": "3130788",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.