Mid-Florida Radiation Oncology PA

Primary specialty

Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X

Legal business name

MID-FLORIDA RADIATION ONCOLOGY PA

Practice address

301 NE 19TH Dr
Okeechobee, FL 34972-1911

Phone

(863) 357-0039

Fax

(863) 357-4539

NPI assigned

Jul 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Ronald Harlan Woody, M.D.,

Title

President

Phone

(772) 468-3222

Specialties & licenses 1

Addresses

Other names 1

• Okeechobee Cancer Center Doing business as

Tax ID family

Mid-Florida Radiation Onclgy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Mid-Florida Radiation Oncology PA

  • Radiation Oncology Clinic/Center
  • Port St Lucie, FL
  • NPI 1285784389
  NPD tax ID

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609896083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 COUNTRY CLUB DR",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775397620",
            "telephone_number": "281-337-3423",
            "fax_number": "281-337-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 NE 19TH DR",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349721911",
            "telephone_number": "863-357-0039",
            "fax_number": "863-357-4539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-FLORIDA RADIATION ONCOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOODY",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "HARLAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-468-3222",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Okeechobee Cancer Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Meridian Emergency Physicians, LLC
• Metcare of Florida
• Michael a Garvin DPM PA
• Michael a Garvin, DPM, PA
• Mid Florida Radiation Oncology Asso
• Amber Leigh Middleton
• Mohammad Riaz MD
• Mark J Moll, O.D.
• Lisa Molyneaux, LCSW, ACSW
• Julian A Moore, M.D.

• Radiation Oncology Clinic/Center in Okeechobee, FL
• Providers in Okeechobee, FL by specialty
• Radiation Oncology Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.