Organization Active NPI

Florida Cancer Affiliates PL

  • Hematology & Oncology Physician
  • Brooksville, FL
National Provider Identifier
1790054872
Registry record updated May 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
FLORIDA CANCER AFFILIATES PL
Practice address
11373 Cortez Blvd
Suite 200
Brooksville, FL 34613-5414
Phone
(352) 597-4998
Fax
(352) 596-6051
NPI assigned
Dec 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2013

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

Authorized official

Name
Dr. Gerald J. Robbins, M.D.
Title
Practice President
Phone
(727) 484-7722

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X Primary
Radiation Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0001X

Addresses

Primary practice location

11373 Cortez Blvd
Suite 200
Brooksville, FL 34613-5414

Mailing address

11373 Cortez Blvd
Suite 200
Brooksville, FL 34613-5414
Phone (352) 597-4998

Other identifiers 2

IdentifierTypeStateIssuer
004381500MedicaidFL
265199800MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368748800000",
    "number": "1790054872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11373 CORTEZ BLVD",
            "address_2": "SUITE 200",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135414",
            "telephone_number": "352-597-4998",
            "fax_number": "352-596-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11373 CORTEZ BLVD",
            "address_2": "SUITE 200",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135414",
            "telephone_number": "352-597-4998",
            "fax_number": "352-596-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA CANCER AFFILIATES PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-20",
        "last_updated": "2013-05-17",
        "status": "A",
        "authorized_official_last_name": "ROBBINS",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRACTICE PRESIDENT",
        "authorized_official_telephone_number": "727-484-7722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004381500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265199800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; 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.