Center for Radiation Oncology of Tampa Bay in

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

27091 Issued in FL

Legal business name

CENTER FOR RADIATION ONCOLOGY OF TAMPA BAY IN

Doing business as

Center for Radiation Oncology

Practice address

717 W Robertson St
Brandon, FL 33511-4921

Phone

(813) 661-6339

Fax

(813) 661-6442

NPI assigned

Jul 1, 2005

Last updated

Nov 1, 2012By 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

Mr. Nick L Hernandez, MBA, FACHE

Title

VP Indiana and South Florida Operai

Phone

(813) 662-6024

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Center for Radiation Oncology Doing business as

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351728000000",
    "number": "1497752729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 WEST VIRGINIA AVENUE",
            "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": "717 W ROBERTSON ST",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114921",
            "telephone_number": "813-661-6339",
            "fax_number": "813-661-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR RADIATION ONCOLOGY OF TAMPA BAY IN",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "last_updated": "2012-11-01",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "NICK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP INDIANA AND SOUTH FLORIDA OPERAI",
        "authorized_official_telephone_number": "813-662-6024",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA, FACHE"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "27091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264462200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Radiation Oncology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diana Celestino, PT
• Stacey Barros Centeio
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• Center for Men's Health - Brandon
• Center for Parent Coaching Brainspotting & Therapy
• Centerpointe Counseling and Recovery of Brandon
• Ayanna Centifonti
• Central Park Health Care Associates LLC (Central Park Healthcare and Rehabilitation Center)
• Certified Surgical Assistants PA,Inc.
• Sara A Cervantes, DMD

• Radiation Oncology Physician in Brandon, FL
• Providers in Brandon, 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 Nov 1, 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.