Active NPI
Florida Hematology & Oncology Center P.a.
- Hematology & Oncology Physician
- Brandon, FL
National Provider Identifier
1346375029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3130788 | Other | FL | AETNA IDENTIFIER |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Nurse Practitioner
- Gulfport, MS
- NPI 1487673406
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
- Florida Autism Center
- Florida Cancer Physicians Network LLC (Tampa Bay Cancer Center)
- Florida Cancer Physicians Network LLC (Cyberknife Cancer Center at Brandon Regional Hospital)
- Florida Cancer Specialists & Research Institute, LLC
- Florida Cardio Thoracic & Vascular Consultants PA
- Florida Inpatient Services
- Florida Living Options Inc (3rd Florida Living Options LLC Hawthorne Inn of Brandon)
- Florida Living Options Inc. (2nd Florida Living Options LLC Hawthorne Health and Rehab of Brandon)
- Florida Medical Clinic LLC
- Florida Medical Clinic LLC
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.