Florida Cancer Specialists Countryside

LBN: Marcos G Joppert Md
Florida Cancer Specialists Countryside is an health care organization with primary practice located at 3253 N Mcmullen Booth Rd Ste 100, Clearwater FL 33761-2043. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Marcos G Joppert Md can be contacted via phone (727) 725-8102, or through Fulkerson, Dawn via phone (239) 274-8200.

Contact Information

Primary practice address
3253 N Mcmullen Booth Rd Ste 100 Clearwater FL 33761-2043
Phone: (727) 725-8102
Fax: (727) 796-7009
Website:
Map and Directions
Authorized official contact:
Name: Fulkerson, Dawn
Phone: (239) 274-8200

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X ME73531 Florida

Profile Details

NPI number 1043325079
LBN Legal business name Marcos G Joppert Md
DBA Doing business as Florida Cancer Specialists Countryside
Authorized official Fulkerson, Dawn
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2006
Last updated Dec 5th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043325079 NPPES
Florida MEDICAID 265956500
Florida Other 1013349

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