NPIMap

Organization Active NPI

Florida Institute of Research, Medicine, and Surgery, P.a.

Doing business as Cancer Centers of Florida

  • Radiation Oncology Physician
  • Orlando, FL
National Provider Identifier
1598054058
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
601046 Issued in FL
Legal business name
FLORIDA INSTITUTE OF RESEARCH, MEDICINE, AND SURGERY, P.A.
Doing business as
Cancer Centers of Florida
Practice address
52 West Gore Street
Orlando, FL 32806-1114
Phone
(407) 426-8484
Fax
(407) 426-8586
NPI assigned
Apr 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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

Authorized official

Name
Lee B Cecil, CPCS
Title
Credentials/MNGD Care Coordinator
Phone
(407) 426-8484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X 601046 FL Primary

Addresses

Primary practice location

52 West Gore Street
Orlando, FL 32806-1114

Mailing address

70 W. Gore Street,
Suite 100 Credentialing Department
Orlando, FL 32806-1124
Phone (407) 426-8484

Other identifiers 1

IdentifierTypeStateIssuer
260147800MedicaidFL

Other names 1

  • Cancer Centers of Florida Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cancer Centers of Fla P4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1598054058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 W. GORE STREET,",
            "address_2": "SUITE 100 CREDENTIALING DEPARTMENT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061124",
            "telephone_number": "407-426-8484",
            "fax_number": "407-447-5229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 WEST GORE STREET",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061114",
            "telephone_number": "407-426-8484",
            "fax_number": "407-426-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA INSTITUTE OF RESEARCH, MEDICINE, AND SURGERY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-05",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "CECIL",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CREDENTIALS/MNGD CARE COORDINATOR",
        "authorized_official_telephone_number": "407-426-8484",
        "authorized_official_credential": "CPCS"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "601046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260147800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cancer Centers of Florida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.