Mid-Florida Oncology Physician Services LLC

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

MID-FLORIDA ONCOLOGY PHYSICIAN SERVICES LLC

Practice address

200 Avenue F NE
Winter Haven, FL 33881-4131

Phone

(863) 297-1899

Fax

(863) 297-1867

NPI assigned

May 1, 2008

Organization subpart

Yes

Parent organization

MID-FLORIDA PHYSICIAN SERVICES LLCAs reported in NPPES

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

Authorized official

Name

Dave Macdougall

Title

Cfo

Phone

(863) 297-1899

Specialties & licenses 1

Addresses

Part of

Mid-Florida Physician Services LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Mid-Florida Physician Services LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Winter Haven, FL
  • NPI 1265608012
  NPPES parent name

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1457527210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 AVENUE F NE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814131",
            "telephone_number": "863-297-1899",
            "fax_number": "863-297-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 AVENUE F NE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814131",
            "telephone_number": "863-297-1899",
            "fax_number": "863-297-1867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-FLORIDA ONCOLOGY PHYSICIAN SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MID-FLORIDA PHYSICIAN SERVICES LLC",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "MACDOUGALL",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "863-297-1899"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mid Florida Cardiovascular Center, LLC
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• Mid-Florida Interventional Cardiology Physician Services LLC
• Mid-Florida OB GYN Hospitalist Physician Services L L C
• Mid-Florida Physician Services LLC
• Mid-Florida Urology Physician Services LLC
• Midflorida Internal Medicine Associates, PA
• Vontrise Mike
• Milestones of Excellence LLC

• Hematology & Oncology Physician in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Hematology & Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.