Organization Active NPI

Mid Florida Hematology and Oncology Centers PA

  • Hematology & Oncology Physician
  • Oviedo, FL
National Provider Identifier
1104360221
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
MID FLORIDA HEMATOLOGY AND ONCOLOGY CENTERS PA
Practice address
658 Oviedo Medical Drive
Oviedo, FL 32765
Phone
(407) 901-9076
NPI assigned
Dec 8, 2016
Last updated
Dec 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Harish Gowda
Title
Executive Director
Phone
(386) 774-1223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X Primary

Addresses

Primary practice location

658 Oviedo Medical Drive
Oviedo, FL 32765

Mailing address

2776 Enterprise Rd
Orange City, FL 32763-8316
Phone (386) 774-1223

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2120572Mid Florida Hematology Oncology Centers PA658 Oviedo Medical Dr, Oviedo, FL 32765AccreditationMar 21, 2027

National Provider Directory

National Provider Directory
Tax ID family
Mid FL Hema Onco Cent5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

658 Oviedo Medical Dr
Oviedo, FL 32765
Phone (407) 265-2540

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1481155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481155200000",
    "number": "1104360221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2776 ENTERPRISE RD",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638316",
            "telephone_number": "386-774-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 OVIEDO MEDICAL DRIVE",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "32765",
            "telephone_number": "407-901-9076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID FLORIDA HEMATOLOGY AND ONCOLOGY CENTERS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-08",
        "last_updated": "2016-12-08",
        "status": "A",
        "authorized_official_last_name": "GOWDA",
        "authorized_official_first_name": "HARISH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "386-774-1223"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.