Clermont Cancer Center, LLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

CLERMONT CANCER CENTER, LLC

Practice address

1361 Citrus Tower Blvd
Suite 100
Clermont, FL 34711-1924

Phone

(352) 242-1366

NPI assigned

Jul 1, 2015

Organization subpart

No

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

Authorized official

Name

Nicki McKnight, CHC

Title

Compliance Director

Phone

(949) 385-5012

Specialties & licenses 1

Addresses

Tax ID family

Clermont Cancer Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Winter Park Cancer Center, LLC

  • Radiation Oncology Physician
  • Winter Park, FL
  • NPI 1821471533
  NPD tax ID

Locations

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1225411812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 E COAST HWY",
            "address_2": "SUITE 200",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926252236",
            "telephone_number": "949-207-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 CITRUS TOWER BLVD",
            "address_2": "SUITE 100",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111924",
            "telephone_number": "352-242-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLERMONT CANCER CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-01",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "MCKNIGHT",
        "authorized_official_first_name": "NICKI",
        "authorized_official_title_or_position": "COMPLIANCE DIRECTOR",
        "authorized_official_telephone_number": "949-385-5012",
        "authorized_official_credential": "CHC"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clermont Ambulatory Surgical Center
• Clermont and Area Rehabilitation Solutions Inc
• Clermont Cardiology PA
• Clermont Chiropractic Life Center
• Clermont Dentistry PLLC
• Clermont Dialysis Center LLC
• Clermont Eye Institute LLC

• Radiation Oncology Physician in Clermont, FL
• Providers in Clermont, FL by specialty
• Radiation Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.