Provider Demographics
NPI: | 1538405659 |
---|---|
Name: | MIAMI HEMATOLOGY AND ONCOLOGY ASSOCIATES LLC |
Entity type: | Organization |
Organization Name: | MIAMI HEMATOLOGY AND ONCOLOGY ASSOCIATES LLC |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | CEO AND FOUNDER |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | TONY |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | TALEBI |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MD |
Authorized Official - Phone: | 305-586-0445 |
Mailing Address - Street 1: | 1521 ALTON RD # 900 |
Mailing Address - Street 2: | |
Mailing Address - City: | MIAMI BEACH |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 33139-3301 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 305-586-0445 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 151 NW 11TH ST STE E304 |
Practice Address - Street 2: | |
Practice Address - City: | HOMESTEAD |
Practice Address - State: | FL |
Practice Address - Zip Code: | 33030-4306 |
Practice Address - Country: | US |
Practice Address - Phone: | 786-504-3084 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2012-12-18 |
Last Update Date: | 2025-01-14 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207RX0202X | Allopathic & Osteopathic Physicians | Internal Medicine | Medical Oncology | Group - Single Specialty |