Randal H Henderson (NPI# 1649231291, PAC ID# 5193721082) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.
| Nation Provider ID (NPI) | 1649231291 |
| PAC ID by PECOS | 5193721082 |
| Professional Enrollment ID | I20061017000412 |
| Full Name | Randal H Henderson |
| Organization Legal Name | FLORIDA PROTON THERAPY INSTITUTE INC |
| Address |
2015 Jefferson St Jacksonville FL 32206-3531 |
| Phone Number | 9045881800 |
| Gender | M |
| Credential | MD |
| Medical School | TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE |
| Graduation Year | 1979 |
| Primary Specialty | RADIATION ONCOLOGY |
| Group Practice PAC ID | 0749285609 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100001 | SHANDS JACKSONVILLE |
| 100087 | SARASOTA MEMORIAL HOSPITAL |
| 100040 | ST VINCENT'S MEDICAL CENTER RIVERSIDE |
| Address | Phone | Organization |
|---|---|---|
| 2015 Jefferson St, Jacksonville, FL 32206-3531 | 9045881800 | FLORIDA PROTON THERAPY INSTITUTE INC |
| Organization Legal Name | FLORIDA PROTON THERAPY INSTITUTE INC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bradford Hoppe | Radiation Oncology | Florida Proton Therapy Institute Inc | 2015 Jefferson St, Jacksonville, FL 32206-3531 |
| Ronny L Rotondo | Radiation Oncology | Florida Proton Therapy Institute Inc | 2015 Jefferson St, Jacksonville, FL 32206-3531 |
| Daniel J Indelicato | Radiation Oncology | Florida Proton Therapy Institute Inc | 2015 Jefferson St, Jacksonville, FL 32206-3531 |
| Julie A Bradley | Radiation Oncology | Florida Proton Therapy Institute Inc | 2015 Jefferson St, Jacksonville, FL 32206-3531 |
| Teena Burchianti | Nurse Practitioner | Florida Proton Therapy Institute Inc | 2015 Jefferson St, Jacksonville, FL 32206-3531 |
| Romaine C Nichols | Radiation Oncology | Florida Proton Therapy Institute Inc | 2015 Jefferson St, Jacksonville, FL 32206-3531 |
| Adam Lewis Holtzman | Radiation Oncology | Florida Proton Therapy Institute Inc | 2015 Jefferson St, Jacksonville, FL 32206-3531 |
| Raymond Bernard Mailhot | Radiation Oncology | Florida Proton Therapy Institute Inc | 2015 Jefferson St, Jacksonville, FL 32206-3531 |
| Michael S Rutenberg | Radiation Oncology | Florida Proton Therapy Institute Inc | 2015 Jefferson St, Jacksonville, FL 32206-3531 |
| Curtis M Bryant | Radiation Oncology | Florida Proton Therapy Institute Inc | 2015 Jefferson St, Jacksonville, FL 32206-3531 |
| Street Address |
2015 JEFFERSON ST |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32206-3531 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bradford Hoppe | Radiation Oncology | Florida Proton Therapy Institute Inc | 2015 Jefferson St, Jacksonville, FL 32206-3531 |
| Ronny L Rotondo | Radiation Oncology | Florida Proton Therapy Institute Inc | 2015 Jefferson St, Jacksonville, FL 32206-3531 |
| Daniel J Indelicato | Radiation Oncology | Florida Proton Therapy Institute Inc | 2015 Jefferson St, Jacksonville, FL 32206-3531 |
| Julie A Bradley | Radiation Oncology | Florida Proton Therapy Institute Inc | 2015 Jefferson St, Jacksonville, FL 32206-3531 |
| Teena Burchianti | Nurse Practitioner | Florida Proton Therapy Institute Inc | 2015 Jefferson St, Jacksonville, FL 32206-3531 |
| Romaine C Nichols | Radiation Oncology | Florida Proton Therapy Institute Inc | 2015 Jefferson St, Jacksonville, FL 32206-3531 |
| Adam Lewis Holtzman | Radiation Oncology | Florida Proton Therapy Institute Inc | 2015 Jefferson St, Jacksonville, FL 32206-3531 |
| Raymond Bernard Mailhot | Radiation Oncology | Florida Proton Therapy Institute Inc | 2015 Jefferson St, Jacksonville, FL 32206-3531 |
| Michael S Rutenberg | Radiation Oncology | Florida Proton Therapy Institute Inc | 2015 Jefferson St, Jacksonville, FL 32206-3531 |
| Curtis M Bryant | Radiation Oncology | Florida Proton Therapy Institute Inc | 2015 Jefferson St, Jacksonville, FL 32206-3531 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zehra A Cumber | Osteopathic Manipulative Medicine | Mcgowan Spinal Rehabilitation Center Pa | 3021 Main St N, Jacksonville, FL 32206-2122 |
| Royce D Mcgowan | Chiropractic | Mcgowan Spinal Rehabilitation Center Pa | 3021 Main St N, Jacksonville, FL 32206-2122 |
| Kwame B Jenkins | Chiropractic | Mcgowan Spinal Rehabilitation Center Pa | 3021 Main St N, Jacksonville, FL 32206-2122 |
| Nicole Marie Alexander | Obstetrics/gynecology | University of Florida Jacksonville Physicians, Inc. | 1155 E 21st St, Jacksonville, FL 32206-2401 |
| Ma Glenda Abac Garcia | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 1155 E 21st St, Jacksonville, FL 32206-2401 |
| Mar Antonio Jaminal | Family Medicine | University of Florida Jacksonville Physicians, Inc. | 1155 E 21st St, Jacksonville, FL 32206-2401 |
| Cameron Jelks | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 1155 E 21st St, Jacksonville, FL 32206-2401 |
| Doris Smith | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 1155 E 21st St, Jacksonville, FL 32206-2401 |
| Aisha M Ladson | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 1155 E 21st St, Jacksonville, FL 32206-2401 |
| Hans R Crevecoeur | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 1155 E 21st St, Jacksonville, FL 32206-2401 |
| Find all physicians in zip 32206 | |||
| City | JACKSONVILLE |
| Zip Code | 32206 |
| Specialty | RADIATION ONCOLOGY |
| City + Specialty | JACKSONVILLE + RADIATION ONCOLOGY |
Please comment or provide details below to improve the information on Randal H Henderson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.