FLORIDA CANCER PHYSICIANS NETWORK LLC (NPI# 1790098234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790098234 |
| Entity Type | Organization |
| Organization Name | FLORIDA CANCER PHYSICIANS NETWORK LLC |
| Practice Address |
200 Avenue F Ne Dept of Radiation Oncology Winter Haven FL 33881-4131 |
| Mailing Address |
2715 W Virginia Ave Tampa FL 33607-6327 |
| Practice Telephone | 8632971865 |
| Practice Fax Number | 8632916025 |
| Mailing Telephone | 8136626024 |
| Mailing Fax Number | 8135141257 |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2012-09-21 |
| Authorized Official Name | NICK HERNANDEZ (VP INDIANA & S FLORIDA OPERATIONS) |
| Authorized Official Telephone | 8136626024 |
| Authorized Official Credential | MBA FACHE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 002715002 | 05 | |
| FL | BCBS | 0014A | 01 |
| FL | RR MEDICARE | DR0495 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750694212 | Florida Cancer Physicians Network LLC | Radiology | 3406 N Lecanto Hwy, Suite A, Beverly Hills, FL 34465-3548 | 2010-07-26 |
| 1528371069 | Florida Cancer Physicians Network LLC | Radiology | 717 W Robertson St, Brandon, FL 33511-4921 | 2010-07-26 |
| 1770896227 | Florida Cancer Physicians Network LLC | Radiology | 3201 Sw 33rd Rd, Ocala, FL 34474-7459 | 2010-07-26 |
| 1487967923 | Florida Cancer Physicians Network LLC | Radiology | 3650 Emergency Ln, Sebring, FL 33870-5534 | 2010-07-26 |
| 1811200348 | Florida Cancer Physicians Network LLC | Radiology | 720 Cortaro Dr, Ruskin, FL 33573-6811 | 2010-07-26 |
| 1831402361 | Florida Cancer Physicians Network LLC | Radiology | 425 S Parsons Ave, Suite 102, Brandon, FL 33511-5289 | 2010-07-26 |
| 1902119431 | Florida Cancer Physicians Network LLC | Radiology | 2715 W Virginia Ave, Tampa, FL 33607-6327 | 2010-07-26 |
| 1649583170 | Florida Cancer Physicians Network LLC | Radiology | 7315 Green Slope Dr, Zephyrhills, FL 33541-1314 | 2010-07-26 |
| 1225340631 | Florida Cancer Physicians Network LLC | Radiology | 3663 Bee Ridge Rd, Sarasota, FL 34233-1003 | 2010-07-14 |
| 1063724474 | Florida Cancer Physicians Network LLC | Radiology | 720 Doctors Dr, Englewood, FL 34223-3992 | 2010-07-14 |
| Street Address |
200 AVENUE F NE DEPT OF RADIATION ONCOLOGY |
| City | WINTER HAVEN |
| State | FL |
| Zip Code | 33881-4131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659353993 | Phillip C. Gordon | Pathology | 200 Avenue F Ne, Dept. of Pathology, Winter Haven, FL 33881-4131 | 2005-11-14 |
| 1679193726 | Maria Ann Cressman | Registered Nurse | 200 Avenue F Ne, Winter Haven, FL 33881-4131 | 2020-04-19 |
| 1194386144 | James Ray Fuentes | Nurse Practitioner | 200 Avenue F Ne, Winter Haven, FL 33881-4193 | 2019-06-20 |
| 1023573961 | Candy Bridges | Registered Nurse | 200 Avenue F Ne, Winter Haven, FL 33881-4131 | 2019-02-05 |
| 1093299380 | Amy Arlene Davis | Nurse Practitioner | 200 Avenue F Ne, Winter Haven, FL 33881-4131 | 2018-09-21 |
| 1639656614 | Felix E Sanchez | Pharmacist | 200 Avenue F Ne, Winter Haven, FL 33881-4131 | 2018-07-23 |
| 1801384243 | Tarsha Foreman | Nurse Practitioner | 200 Avenue F Ne, Winter Haven, FL 33881-4131 | 2018-05-01 |
| 1265953178 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 200 Avenue F Ne, Winter Haven, FL 33881 | 2017-06-30 |
| 1518497601 | Hui Yang | Occupational Therapist | 200 Avenue F Ne, Winter Haven, FL 33881-4131 | 2017-06-12 |
| 1093243552 | Chelsea Elizabeth Lenz | Emergency Medicine | 200 Avenue F Ne, Winter Haven, FL 33881-4131 | 2017-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114534476 | Ctc's Heart of Caring, Inc | In Home Supportive Care | 2995 Eagle Nest View Drive, Winter Haven, FL 33881 | 2020-09-29 |
| 1356813869 | Michael Thomas Wiernicki | Dentist | 1074 Spring Lake Plaza, Winter Haven, FL 33881 | 2018-12-21 |
| 1659862423 | Patricia Pelt | Social Worker | 3073 Buckeye Point Dr, Winter Haven, FL 33881 | 2018-05-28 |
| 1952891244 | Ansley Health LLC | Home Health | 1502 6th Ct Ne, Winter Haven, FL 33881 | 2018-05-14 |
| 1346699261 | Yovanka Zapata | Specialist/Technologist, Other | 5856 Windrigde Dr., Winter Haven, FL 33881 | 2016-06-10 |
| 1720415599 | Villa Pharmacy LLC | Pharmacy | 105 Avenue R Nw, Winter Haven, FL 33881 | 2013-10-10 |
| 1992149397 | Nic 5 Spring Haven Leasing LLC | Assisted Living Facility | 1225 Nw Havendale Boulevard, Winter Haven, FL 33881 | 2013-04-29 |
| 1780938225 | Penelope Sturdevant | Nurse Practitioner | 2791 Lake Alfred Rd., Winter Haven, FL 33881 | 2012-11-06 |
| 1649548165 | Tim R Acree | Non-emergency Medical Transport (VAN) | 2 Eagles Nest, Winter Haven, FL 33881 | 2011-12-12 |
| 1285899419 | Adjustment and Awareness Counseling | Community/Behavioral Health | 243 3rd St Nw, Winter Haven, FL 33881 | 2008-07-28 |
| Find all providers in zip 33881 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780666222 | Radiation Oncology Associates Pl | Radiology | 200 Avenue F Ne, Dept. of Radiation Oncology, Winter Haven, FL 33881-4131 | 2005-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539079 | Mydoctoreb LLC | Radiology | 17407 Lotino Pl, Lutz, FL 33548-4815 | 2020-08-20 |
| 1417516600 | Arthur J. Iglesias, M.d. P.a. | Radiology | 1100 N.w. 95th Street, Cancer Center, Miami, FL 33150 | 2019-06-11 |
| 1962970111 | William A Assad, M.d. | Radiology | 3202 Henderson Blvd Ste 204a, Tampa, FL 33609-3043 | 2018-11-06 |
| 1508361361 | Marian Ingram | Radiology | 350 Nw 84th Ave Ste 102, Plantation, FL 33324-1820 | 2018-03-26 |
| 1376051870 | Indian River Health Services Inc | Radiology | 3555 10th Ct Ste 101, Vero Beach, FL 32960-5013 | 2018-01-18 |
| 1417492497 | Flagler Hospital, Inc. | Radiology | 97 Health Park Blvd, Saint Augustine, FL 32086-5777 | 2016-12-29 |
| 1447614441 | Benjamin Spieler | Radiology | 1475 Nw 12th Ave # Sccc1500, Miami, FL 33136-1002 | 2016-04-06 |
| 1629461371 | Florida Oncology Tavares, LLC | Radiology | 2010 Nightingale Ln, Tavares, FL 32778-4361 | 2015-03-05 |
| 1285042036 | Gulf Region Radiation Oncology Centers | Radiology | 1545 Airport Blvd Ste 1000, Pensacola, FL 32504-8615 | 2014-07-24 |
| 1962812917 | Florida Oncology Partners LLC | Radiology | 1100 N.w. 95 Street, Cancer Center, Miami, FL 33150-2038 | 2014-04-29 |
| Find all providers with the same taxonomy | ||||
| City | WINTER HAVEN |
| Zip Code | 33881 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.