Central Florida Cancer & Blood Center PA

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

ME93537 Issued in FL

Legal business name

CENTRAL FLORIDA CANCER & BLOOD CENTER PA

Practice address

2494 SW 19TH Avenue Rd
Ocala, FL 34471-7859

Phone

(352) 671-4422

Fax

(352) 671-4423

NPI assigned

Sep 16, 2011

Last updated

Oct 19, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ravi Koti, M.D.NPI 1457396608

Title

Owner

Phone

(352) 671-4422

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ravi K Koti, M.D.

  • Medical Oncology Physician
  • Ocala, FL
  • NPI 1457396608

  Hematology & Oncology

  Medicare reassignment Care Compare group NPD Authorized official
• Christy E Blackburn, APRN

  • Family Nurse Practitioner
  • Ocala, FL
  • NPI 1255974150
  Medicare reassignment Care Compare group NPD
• Valerie Carmichael, FNP

  • Family Nurse Practitioner
  • Ocala, FL
  • NPI 1689413924
  Medicare reassignment Care Compare group NPD
• Ariane Eidam Donate, APRN

  • Acute Care Nurse Practitioner
  • Inverness, FL
  • NPI 1679726483
  Medicare reassignment NPD
• Morgan Ashley Freeman, APRN

  • Nurse Practitioner
  • Ocala, FL
  • NPI 1578277117
  Medicare reassignment NPD
• Amy Diane Morgan, ARNP

  • Family Nurse Practitioner
  • Ocala, FL
  • NPI 1396254488
  Medicare reassignment NPD
• Amber Lynn Werner, APRN

  • Family Nurse Practitioner
  • Ocala, FL
  • NPI 1427692599
  Medicare reassignment NPD

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

{
    "created_epoch": "1316131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539907200000",
    "number": "1124300983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1988",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344781988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2494 SW 19TH AVENUE RD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344717859",
            "telephone_number": "352-671-4422",
            "fax_number": "352-671-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA CANCER & BLOOD CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-16",
        "last_updated": "2018-10-19",
        "status": "A",
        "authorized_official_last_name": "KOTI",
        "authorized_official_first_name": "RAVI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-671-4422",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME93537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centerwell Health Services (Certified), Inc. (Centerwell Home Health)
• Centra RX Inc
• Central FL Hearing, Inc. (Legacy Ear)
• Central Florida Anesthesia Providers LLC
• Central Florida Behavioral Health
• Central Florida Endoscopy & Surgical Institute of Ocala LLC
• Central Florida Eye Institute PL (Thomas L. Croley, MD)
• Central Florida Eye Institute PL
• Central Florida Eye Institute PL
• Central Florida Heart Group P.a.

• Hematology & Oncology Physician in Ocala, FL
• Providers in Ocala, FL by specialty
• Hematology & Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.