NPIMap

Organization Active NPI

Radiation Oncology Centers of Southwest Florida, LLC

  • Radiation Oncology Physician
  • Bradenton, FL
National Provider Identifier
1275638652
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
L06000059070 Issued in FL
Legal business name
RADIATION ONCOLOGY CENTERS OF SOUTHWEST FLORIDA, LLC
Practice address
401 Manatee Ave E
Bradenton, FL 34208-1143
Phone
(941) 749-0955
Fax
(941) 749-0955
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Tri D. Nguyen, MD
Title
Owner
Phone
(941) 795-2270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X L06000059070 FL Primary

Addresses

Primary practice location

401 Manatee Ave E
Bradenton, FL 34208-1143

Mailing address

401 Manatee Ave E
Bradenton, FL 34208-1143
Phone (941) 749-0955

Other identifiers 1

IdentifierTypeStateIssuer
1730296229OtherNPI FOR OTHER OFFICE

National Provider Directory

National Provider Directory
Tax ID family
Radiation Oncology Centers of Southwest Florida LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275638652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MANATEE AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081143",
            "telephone_number": "941-749-0955",
            "fax_number": "941-749-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MANATEE AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081143",
            "telephone_number": "941-749-0955",
            "fax_number": "941-749-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIATION ONCOLOGY CENTERS OF SOUTHWEST FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TRI",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-795-2270",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "L06000059070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR OTHER OFFICE",
            "identifier": "1730296229",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.