Florida Cancer Physicians Network LLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

FLORIDA CANCER PHYSICIANS NETWORK LLC

Practice address

3650 Emergency LN
Sebring, FL 33870-5534

Phone

(863) 382-8811

NPI assigned

Jul 26, 2010

Organization subpart

No

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

Authorized official

Name

Nick Hernandez, MBA FACHE

Title

VP Indiana and S Florida Operations

Phone

(813) 662-6024

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Sebring Cancer Center Doing business as

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348185600000",
    "number": "1487967923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 W VIRGINIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076327",
            "telephone_number": "813-662-6024",
            "fax_number": "813-514-1257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 EMERGENCY LN",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338705534",
            "telephone_number": "863-382-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA CANCER PHYSICIANS NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-26",
        "last_updated": "2012-09-21",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "VP INDIANA AND S FLORIDA OPERATIONS",
        "authorized_official_telephone_number": "813-662-6024",
        "authorized_official_credential": "MBA FACHE"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002715001",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0014A",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DR0495",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sebring Cancer Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• FL-I Medical Services LLC
• Flamingo Therapy
• Melissa Joy Fleck, M.D.
• Greisys Fleitas
• Florida Access Care Inc
• Florida Cancer Specialists & Research Institute, LLC
• Florida Center for Brain and Mind, LLC
• Florida Department of Health
• Florida Em-I Medical Services PA
• Florida Em-I Medical Services PA

• Radiation Oncology Physician in Sebring, FL
• Providers in Sebring, FL by specialty
• Radiation Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.