NPIMap

Organization Active NPI

Central Florida Cancer Institute PA

  • Multi-Specialty Clinic/Center
  • Davenport, FL
National Provider Identifier
1235478603
Registry record updated Dec 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
ME51222 Issued in FL
Legal business name
CENTRAL FLORIDA CANCER INSTITUTE PA
Practice address
40107 Highway 27
Davenport, FL 33837-5901
Phone
(863) 419-0692
Fax
(863) 419-1695
NPI assigned
Feb 5, 2013
Last updated
Dec 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2022

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

Authorized official

Name
Randy HeysekNPI 1629036801
Title
Cfo
Phone
(407) 566-9899

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X ME51222 FL Primary

Addresses

Primary practice location

40107 Highway 27
Davenport, FL 33837-5901

Mailing address

1420 Celebration Blvd
Celebration, FL 34747-5159
Phone (407) 566-9899

Other identifiers 1

IdentifierTypeStateIssuer
263977700MedicaidFL

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20634/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671753600000",
    "number": "1235478603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 CELEBRATION BLVD",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347475159",
            "telephone_number": "407-566-9899",
            "fax_number": "407-566-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40107 HIGHWAY 27",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338375901",
            "telephone_number": "863-419-0692",
            "fax_number": "863-419-1695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA CANCER INSTITUTE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-05",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A",
        "authorized_official_last_name": "HEYSEK",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "407-566-9899"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "FL",
            "license": "ME51222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263977700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; 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.