Organization Active NPI

Florida Oncology Network PA

  • Radiation Oncology Physician
  • Daytona Beach, FL
National Provider Identifier
1457300014
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
ME56371 Issued in FL
Legal business name
FLORIDA ONCOLOGY NETWORK PA
Practice address
224 Memorial Medical Pkwy
Daytona Beach, FL 32117-5122
Phone
(386) 231-4000
Fax
(386) 231-4001
NPI assigned
May 9, 2006
Last updated
Aug 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2012

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

Authorized official

Name
Dr. Robert James Sollaccio, M.D.
Title
President
Phone
(407) 872-7786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X ME56371 FL Primary

Addresses

Primary practice location

224 Memorial Medical Pkwy
Daytona Beach, FL 32117-5122

Mailing address

PO Box 86-4676
Orlando, FL 32886-4676
Phone (407) 872-7786

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344470400000",
    "number": "1457300014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86-4676",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328864676",
            "telephone_number": "407-872-7786",
            "fax_number": "407-872-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 MEMORIAL MEDICAL PKWY",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175122",
            "telephone_number": "386-231-4000",
            "fax_number": "386-231-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA ONCOLOGY NETWORK PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2012-08-09",
        "status": "A",
        "authorized_official_last_name": "SOLLACCIO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-872-7786",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME56371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; 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.