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PRECISION CANCER CONSULTANTS LLC NPI 1417544602


NPI Information

NPI: 1417544602
Provider Name: PRECISION CANCER CONSULTANTS LLC

Doing Business As: CLARIFIED PRECISION MEDICINE

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
14502 N DALE MABRY HWY STE 200
TAMPA, FL
ZIP 33618
Phone: (813) 575-6880
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PRECISION CANCER CONSULTANTS LLC is a specialist in Tampa, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PRECISION CANCER CONSULTANTS LLC NPI is 1417544602. The provider is registered as an organization entity type.
The provider Is Doing Business As Clarified Precision Medicine.

The provider's business location address is:

14502 N DALE MABRY HWY STE 200
TAMPA, FL
ZIP 33618-040
Phone: (813) 575-6880
Fax: (813) 969-0910

The provider's authorized official is Jody Simon .
The authorized official title is Manager and has the following contact phone number (813) 969-1722.

The enumeration date for this NPI number is 12/22/2020 and was last updated on 4/5/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QG0250XClinic/CenterGeneticsNo
2261QX0200XClinic/CenterOncologyNo
3174400000XSpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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