Florida Oncology Tavares, LLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

ME78350 Issued in FL

Legal business name

FLORIDA ONCOLOGY TAVARES, LLC

Practice address

2010 Nightingale LN
Tavares, FL 32778-4361

Phone

(352) 742-3045

NPI assigned

Mar 5, 2015

Last updated

Oct 29, 2015By 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

Dr. David Diamond, M.D.NPI 1528069671

Title

MGRM

Phone

(352) 742-3045

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Adam Diamond, M.D

  • Radiation Oncology Physician
  • Winter Park, FL
  • NPI 1528069671
  Medicare reassignment Care Compare group NPD Authorized official
• Jeffrey Gray Brabham, MD

  • Radiation Oncology Physician
  • Tavares, FL
  • NPI 1639336233
  Medicare reassignment Care Compare group NPD
• Kelly E Lafave, MD

  • Radiation Oncology Physician
  • Winter Park, FL
  • NPI 1376745612
  Medicare reassignment Care Compare group NPD
• Alvaro R Alvarez-Farinetti, M.D.

  • Radiation Oncology Physician
  • Palm Coast, FL
  • NPI 1346262789
  Medicare reassignment NPD
• April Smith Mendoza, M.D.

  • Radiation Oncology Physician
  • Tavares, FL
  • NPI 1811954688
  NPD

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446076800000",
    "number": "1629461371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 NIGHTINGALE LANE",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 NIGHTINGALE LN",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784361",
            "telephone_number": "352-742-3045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA ONCOLOGY TAVARES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-05",
        "last_updated": "2015-10-29",
        "status": "A",
        "authorized_official_last_name": "DIAMOND",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MGRM",
        "authorized_official_telephone_number": "352-742-3045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME78350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florida Hospital Home Infusion-Waterman
• Florida Hospital Waterman Inc (AdventHealth Intensive Cardiac Rehab Waterman)
• Florida Hospital Waterman Inc (AdventHealth Waterman)
• Florida Hospital Waterman Inc (Adventhealth Waterman Special Transportation)
• Florida Oncology Network PA
• Alice Louise Floyd, ARNP, CWCN
• Maria Flynn, MD
• Judy Joan Forrester, D.M.D.
• Marie Fors, LMFT
• Catherine Forsyth

• Radiation Oncology Physician in Tavares, FL
• Providers in Tavares, 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 Oct 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.