Central Florida Cancer Institute PA

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

ME51222 Issued in FL

Legal business name

CENTRAL FLORIDA CANCER INSTITUTE PA

Practice address

1420 Celebration Blvd
Suite 308
Celebration, FL 34747-5159

Phone

(407) 566-9899

Fax

(407) 566-9893

NPI assigned

Jul 10, 2006

Last updated

Mar 21, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Randy V Heysek, M.D.NPI 1629036801

Title

Ceo/President

Phone

(863) 284-6950

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Haines City Hma LLC

  dba Heart of Florida Regional Medical Center

  • General Acute Care Hospital
  • Davenport, FL
  • NPI 1578518403

  Member Of

  NPD member

Locations

Practitioners 10

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.

• Cletus Roy Georges, MD

  • Urology Physician
  • Davenport, FL
  • NPI 1932131752
  Medicare reassignment Care Compare group NPD
• Sandra J Sha, MD

  • Radiation Oncology Physician
  • Lakeland, FL
  • NPI 1396717328
  Medicare reassignment Care Compare group NPD
• Michael David Smith, M.D.

  • Radiation Oncology Physician
  • Davenport, FL
  • NPI 1902835374
  Medicare reassignment Care Compare group NPD
• Reginald A Allen, MD

  • Urology Physician
  • Winter Haven, FL
  • NPI 1306842240
  Medicare reassignment Care Compare group
• Bade Akintan, MD

  • Urology Physician
  • Winter Haven, FL
  • NPI 1831202167
  Medicare reassignment NPD
• David W Graham Jr., MD

  • Radiation Oncology Physician
  • Lakeland, FL
  • NPI 1699766881
  Medicare reassignment NPD
• Shivam Kharod, M.D.

  • Radiation Oncology Physician
  • Tavares, FL
  • NPI 1932563962
  Medicare reassignment NPD
• David Michael Lustig, M.D.

  • Urology Physician
  • Dade City, FL
  • NPI 1093896367
  Medicare reassignment NPD
• Aaron O Williams, MD

  • Radiation Oncology Physician
  • Dublin, GA
  • NPI 1184691016

  FL, Single Specialty

  Medicare reassignment NPD
• Randy V Heysek, MD

  • Radiation Oncology Physician
  • Davenport, FL
  • NPI 1629036801
  Authorized official Same address or phone

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1306870092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 CELEBRATION BLVD",
            "address_2": "SUITE 308",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347475159",
            "telephone_number": "407-566-9899",
            "fax_number": "407-566-9893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 CELEBRATION BLVD",
            "address_2": "SUITE 308",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347475159",
            "telephone_number": "407-566-9899",
            "fax_number": "407-566-9893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA CANCER INSTITUTE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "HEYSEK",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "863-284-6950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "FL",
            "license": "ME51222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celebration Surgery Center LLC
• Celebration Surgery Center, LLC
• Celebration Therapist
• Celebration Urgent Care Center PLLC
• Center for Digestive Disease & Disorder at Celebration LLC
• Central Florida Diagnostics PA
• Central Florida Infectious Disease Specialists LLC
• Kristin Mary Cerati-Jaquez, MA CCC-SLP
• Krystal Cermeno, BCBA
• Cesare Peraglie MD PA

• Multi-Specialty Clinic/Center in Celebration, FL
• Providers in Celebration, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.