Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Personalized Hematology-Oncology of Wake Forest PLLC

Organization Internal Medicine Physician · NPI 1053679944

Personalized Hematology-Oncology of Wake Forest PLLC is an Internal Medicine Physician in Wake Forest, North Carolina. Licensed in North Carolina. Registered with an NPI since 2012.

Licensed in
NC
In the registry since
2012
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11635 N Park Dr
Wake Forest, NC 27587-6298
Phone: (919) 556-2907
Fax: (919) 435-1060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X · Licence 200400833 (NC)
Internal Medicine Physician Taxonomy 207R00000X · Licence 200400833 (NC)

Record details

NPI number1053679944
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Luminita Castillos — Practice Manager · (919) 556-2907
NPI enumeratedApril 27, 2012
Last updated in NPPESJuly 5, 2012
Mailing address11635 North Park Drive, Suite 250, Wake Forest, NC 27587-6298

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