FLORIDA ONCOLOGY NETWORK PA (NPI# 1801085162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801085162 |
| Entity Type | Organization |
| Organization Name | FLORIDA ONCOLOGY NETWORK PA |
| Practice Address |
1055 Saxon Blvd Orange City FL 32763-8468 |
| Mailing Address |
Po Box 1031 Orlando FL 32802-1031 |
| Practice Telephone | 3869175526 |
| Practice Fax Number | 3869175553 |
| Mailing Telephone | 4078727786 |
| Mailing Fax Number | 4078723630 |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2012-08-09 |
| Authorized Official Name | ROBERT JAMES SOLLACCIO (PRESIDENT) |
| Authorized Official Telephone | 4078727786 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
ME56371 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE SUFFIX | 24852F | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598953622 | Florida Oncology Network Pa | Radiology | 2100 Glenwood Dr, Winter Park, FL 32792-3310 | 2007-10-15 |
| 1235327362 | Florida Oncology Network Pa | Radiology | 680 Peachwood Dr, Deland, FL 32720-0902 | 2007-10-15 |
| 1699963728 | Florida Oncology Network Pa | Radiology | 4000 Waterman Way, Tavares, FL 32778-5258 | 2007-10-15 |
| 1336337468 | Florida Oncology Network Pa | Radiology | 7727 Lake Underhill Rd, Orlando, FL 32822-8224 | 2007-10-15 |
| 1871781906 | Florida Oncology Network Pa | Radiology | 60 Memorial Medical Pkwy, Palm Coast, FL 32164-5980 | 2007-10-15 |
| 1790973824 | Florida Oncology Network Pa | Radiology | 601 E Altamonte Dr, Altamonte Springs, FL 32701-4802 | 2007-10-15 |
| 1336337203 | Florida Oncology Network Pa | Radiology | 2501 N Orange Ave, Suite 181, Orlando, FL 32804-4603 | 2007-10-04 |
| 1457300014 | Florida Oncology Network Pa | Radiology | 224 Memorial Medical Pkwy, Daytona Beach, FL 32117-5122 | 2006-05-09 |
| Street Address |
1055 SAXON BLVD |
| City | ORANGE CITY |
| State | FL |
| Zip Code | 32763-8468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598747982 | Ce Bunnell & Associates Pllc | Pathology | 1055 Saxon Blvd, Dept. of Pathology, Orange City, FL 32763-8468 | 2005-11-19 |
| 1811517527 | Raquel Duzant | Speech-Language Pathologist | 1055 Saxon Blvd, Orange City, FL 32763-8468 | 2020-04-22 |
| 1245881473 | Emily Hidalgo | Nurse Practitioner | 1055 Saxon Blvd, Orange City, FL 32763-8468 | 2019-09-29 |
| 1033760012 | Cristyl Rachelle Mcclure | Nurse Practitioner | 1055 Saxon Blvd, Orange City, FL 32763-8468 | 2019-09-22 |
| 1548816390 | Samantha Tronolone | Nurse Practitioner | 1055 Saxon Blvd, Orange City, FL 32763-8468 | 2019-08-16 |
| 1851959407 | Autumn Enrique Oakes | Nurse Practitioner | 1055 Saxon Blvd, Orange City, FL 32763-8468 | 2019-05-30 |
| 1306403373 | Nancy Vazquez | Nurse Practitioner | 1055 Saxon Blvd, Orange City, FL 32763-8468 | 2019-05-24 |
| 1013411172 | Tasha Naomi Brickhouse | Dietitian, Registered | 1055 Saxon Blvd, Orange City, FL 32763-8468 | 2018-03-22 |
| 1821370685 | Derek Nelson | Physician Assistant | 1055 Saxon Blvd, Orange City, FL 32763-8468 | 2011-09-16 |
| 1417236902 | Zachary E Ballenger | Radiology | 1055 Saxon Blvd, Orange City, FL 32763-8468 | 2011-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043852783 | Khushboo Patel | Nurse Practitioner | 915 Harley Strickland Blvd, Orange City, FL 32763 | 2019-10-15 |
| 1598325466 | Steves Hearingllc | Hearing Aid Equipment | 742 N Volucia Ave., Orange City, FL 32763 | 2019-06-13 |
| 1740762194 | Jamie Elizabeth Price | Speech-Language Pathologist | 2705 Rebecca Lane Suite B, Orange City, FL 32763 | 2018-09-02 |
| 1841771821 | Ashley Katherine Taylor | Early Intervention Provider Agency | 358 W Wisconsin Ave, Orange City, FL 32763 | 2018-08-27 |
| 1033636048 | Kimberly Michelle Belk | Social Worker | 300 Treemonte Dr, Orange City, FL 32763 | 2017-08-30 |
| 1588198733 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1320 Saxon Blvd, Orange City, FL 32763 | 2017-04-14 |
| 1629515333 | Anewerface, Inc | Clinic/Center | Address: 123 N Industrial Dr Ste C, Orange City, FL 32763 | 2017-01-20 |
| 1184073322 | Carolyn Ann Damato | Specialist/Technologist, Other | 1350 13th Street, Orange City, FL 32763 | 2016-06-08 |
| 1225451784 | Shamika Spencer | Nurse Practitioner | 932 Saxon Blvd Ste A, Orange City, FL 32763 | 2014-02-03 |
| 1972882314 | Orange City Anesthesia Services LLC | Anesthesiology | 975 Town Center Dr Ste 100, Orange City, FL 32763 | 2011-08-16 |
| Find all providers in zip 32763 | ||||
| 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 |
|---|---|---|---|---|
| 1538160692 | Gary Robert Graham | Radiology | 2776 Enterprise Rd # 100, Orange City, FL 32763-8316 | 2005-08-10 |
| 1699775866 | Noushin Izadifar Hart | Radiology | 2776 Enterprise Rd, Suite 100, Orange City, FL 32763-8316 | 2005-07-28 |
| 1376528612 | Alan R Forbes | Radiology | 2776 Enterprise Rd # 100, Orange City, FL 32763-8316 | 2005-12-09 |
| 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 | ORANGE CITY |
| Zip Code | 32763 |
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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.