Provider Demographics
NPI:1528153137
Name:WOMENS CANCER ASSOCIATES PA
Entity type:Organization
Organization Name:WOMENS CANCER ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:PETER
Authorized Official - Last Name:LAPOLLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-821-9688
Mailing Address - Street 1:PO BOX 22406
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33742-2406
Mailing Address - Country:US
Mailing Address - Phone:727-823-2188
Mailing Address - Fax:727-823-9502
Practice Address - Street 1:600 EIGHTH STREET SOUTH
Practice Address - Street 2:SUITE B
Practice Address - City:ST. PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701
Practice Address - Country:US
Practice Address - Phone:727-821-9688
Practice Address - Fax:727-821-9678
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME49068207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL99336OtherBCBS OF FL
DE9384OtherRAILROAD MEDICARE
FL=========OtherTAX INDENTIFICATION
FL=========OtherTAX INDENTIFICATION