Cancer Center of Melbourne LLC

Primary specialty

Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X

License

ME56764 Issued in FL

Legal business name

CANCER CENTER OF MELBOURNE LLC

Practice address

415 S. Wickham Rd.
Melbourne, FL 32904

Phone

(321) 821-2282

Fax

(321) 821-0666

NPI assigned

Aug 13, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Wasfi A Makar, M.D.

Title

Medical Director

Phone

(321) 960-1587

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376352000000",
    "number": "1366875387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 S. WICKHAM RD.",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32904",
            "telephone_number": "321-821-2282",
            "fax_number": "321-821-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 S. WICKHAM RD.",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32904",
            "telephone_number": "321-821-2282",
            "fax_number": "321-821-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER CENTER OF MELBOURNE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-13",
        "last_updated": "2013-08-13",
        "status": "A",
        "authorized_official_last_name": "MAKAR",
        "authorized_official_first_name": "WASFI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "321-960-1587",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": "FL",
            "license": "ME56764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mario A Camps, M.D.
• Giselle Campuzano
• Brooke Canady
• Cancer Care Centers of Brevard Inc
• Cancer Care Centers of Brevard Inc
• Ciara Nichole Candle, FNP-BC
• Joseph James Canestrari, PA-C
• Britten Grace Canida, BCBA
• Amy Cannon, APRN, FNP-BC
• Charles Cannon, PTA

• Radiation Oncology Clinic/Center in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Radiation Oncology Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; 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.