NPIMap

Individual provider Active NPI

Servillano Dela Cruz Jr., M.D.

  • Medical Oncology Physician
  • Inverness, FL
National Provider Identifier
1255312591
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
ME81376 Issued in FL
Practice address
2231 Highway 44 W
Inverness, FL 34453-3879
Phone
(352) 860-7400
Fax
(352) 860-7450
NPI assigned
Nov 11, 2005
Last updated
Dec 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X ME81376 FL Primary

Addresses

Primary practice location

2231 Highway 44 W
Inverness, FL 34453-3879

Mailing address

3498 N Grayhawk Loop
Lecanto, FL 34461-8466

Other identifiers 1

IdentifierTypeStateIssuer
260183400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TN, LA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20101117001153 FL Practitioner - Hematology/Oncology 9234297748 Reassigns benefits to 1 organization
I20250627002312 TN Practitioner - Hematology/Oncology 9234297748 Reassigns benefits to 1 organization
I20260114001479 LA Practitioner - Internal MedicinePractitioner - Medical Oncology 9234297748 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Medical Oncology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

602 N Acadia Rd
Thibodaux, LA 70301-4823

602 N Acadia Rd
Thibodaux, LA 70301-4847

608 N Acadia Rd
Thibodaux, LA 70301-4847

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cookeville Regional Medical Center Hematology & Oncology CurrentSince Jun 1, 2025 Accepting new patients
Thibodaux Regional Network Development Corporation Current Accepting new patients
Thibodaux Regional Network Development Corporation Hematology & Oncology CurrentSince Nov 17, 2025 Accepting new patients
Cookeville Regional Medical Center CurrentSince Jun 1, 2025 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC Hematology & Oncology CurrentSince Sep 15, 2014 Accepting new patients
Thibodaux Regional Network Development Corporation CurrentSince Nov 17, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

4371 Veronica S Shoemaker Blvd
Fort Myers, FL 33916
Phone (239) 432-8500

2231 Highway 44 W
Ste 203
Inverness, FL 34453
Phone (352) 860-7400

801 Medical Ct E
Inverness, FL 34452
Phone (352) 637-4490

1970 Golf St
Fl Cancer
Sarasota, FL 34236
Phone (941) 795-3780

4420 Sun N Lake Blvd
Fl Cancer
Sebring, FL 33872
Phone (863) 385-1244

602 N Acadia Rd
Thibodaux, LA 70301
Phone (985) 493-4544

608 N Acadia Rd
Fl 3
Thibodaux, LA 70301
Phone (985) 449-4642

1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334

140 W 7th St
Cookeville, TN 38501
Phone (931) 783-5582

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1255312591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3498 N GRAYHAWK LOOP",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344618466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 HIGHWAY 44 W",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344533879",
            "telephone_number": "352-860-7400",
            "fax_number": "352-860-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELA CRUZ",
        "first_name": "SERVILLANO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-11",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "FL",
            "license": "ME81376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260183400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inverness, FL

Sources for this page

Verify at the official NPI Registry.