Active NPI
Mid-Florida Radiation Oncology PA
Doing business as Port St. Lucie Cancer Center
- Radiation Oncology Clinic/Center
- Port St Lucie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Clinic/Center
- Legal business name
- MID-FLORIDA RADIATION ONCOLOGY PA
- Doing business as
- Port St. Lucie Cancer Center
- Practice address
- 1780 SE Hillmoor Dr
Port St Lucie, FL 34952-7558 - Phone
- (772) 335-2115
- Fax
- (772) 335-4480
- NPI assigned
- Jan 11, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ronald Harlen Woody III, M.D.,
- Title
- President
- Phone
- (772) 468-3222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Clinic/Center | 261QX0203X | NU | Primary |
Addresses
Primary practice location
1780 SE Hillmoor Dr
Port St Lucie, FL 34952-7558
Mailing address
4400 Country Club Dr
Dickinson, TX 77539-7620
Phone (281) 337-3423
Other names 1
- Port St. Lucie Cancer Center
National Provider Directory
National Provider Directory- Tax ID family
- Mid-Florida Radiation Onclgy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Okeechobee Cancer Center
- Radiation Oncology Clinic/Center
- Okeechobee, FL
- NPI 1609896083
Locations
1231 N Lawnwood Cir
Fort Pierce, FL 34950
Phone (772) 464-8121
1780 SE Hillmoor Dr
Port St Lucie, FL 34952
Phone (772) 335-2115
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Radiation Oncology Physician
- Palm City, FL
- NPI 1699766196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1285784389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 COUNTRY CLUB DR",
"city": "DICKINSON",
"state": "TX",
"postal_code": "775397620",
"telephone_number": "281-337-3423",
"fax_number": "281-337-2611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1780 SE HILLMOOR DR",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349527558",
"telephone_number": "772-335-2115",
"fax_number": "772-335-4480"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MID-FLORIDA RADIATION ONCOLOGY PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WOODY",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "HARLEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "772-468-3222",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "M.D.,"
},
"taxonomies": [
{
"code": "261QX0203X",
"taxonomy_group": "",
"desc": "Clinic/Center, Oncology, Radiation",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Port St. Lucie Cancer Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Port St Lucie, 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.