Cancer Centers of Central Florida PA

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

ME71127 Issued in FL

Legal business name

CANCER CENTERS OF CENTRAL FLORIDA PA

Practice address

9832 US Highway 441
Ste 101
Leesburg, FL 34788-3966

Phone

(352) 787-3341

Fax

(352) 787-7491

NPI assigned

Nov 10, 2005

Organization subpart

No

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

Authorized official

Name

Rambabu Tummala, MD

Title

President

Phone

(352) 787-3341

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399334400000",
    "number": "1275514622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9832 US HIGHWAY 441",
            "address_2": "STE 101",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883966",
            "telephone_number": "352-787-3341",
            "fax_number": "352-787-7491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9832 US HIGHWAY 441",
            "address_2": "STE 101",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883966",
            "telephone_number": "352-787-3341",
            "fax_number": "352-787-7491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER CENTERS OF CENTRAL FLORIDA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-10",
        "last_updated": "2014-05-06",
        "status": "A",
        "authorized_official_last_name": "TUMMALA",
        "authorized_official_first_name": "RAMBABU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-787-3341",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME71127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259000000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "31507",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Campbell
• Kevin Campbell, PTA
• Lajuana D Campbell, APRN
• Lindsay Campbell
• Robert Loy Campbell Jr., LCSW
• Paul Capell, PMHNP
• Amanda Walker Caravella, BCBA
• Cardiac Specialty Institute LLC
• Nicole Cardiello
• Alba Patricia Cardona, ARNP

• Hematology & Oncology Physician in Leesburg, FL
• Providers in Leesburg, 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 May 6, 2014; 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.