NPIMap

Organization Active NPI

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

  • Hematology & Oncology Physician
  • Winter Park, FL
National Provider Identifier
1790074342
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
601044 Issued in FL
Legal business name
FLORIDA INSTITUTE OF RESEARCH, MEDICINE, AND SURGERY, P.A.
Practice address
1561 W. Fairbanks Avenue
Suite 300
Winter Park, FL 32789-4678
Phone
(407) 478-4200
Fax
(407) 339-8670
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
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X 601044 FL Primary

Addresses

Primary practice location

1561 W. Fairbanks Avenue
Suite 300
Winter Park, FL 32789-4678

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
260147802MedicaidFL

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.

Locations

1561 W Fairbanks Ave
Ste 300
Winter Park, FL 32789
Phone (407) 478-4200

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": "1790074342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 W. GORE STREET, SUITE 100",
            "address_2": "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": "1561 W. FAIRBANKS AVENUE",
            "address_2": "SUITE 300",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894678",
            "telephone_number": "407-478-4200",
            "fax_number": "407-339-8670"
        }
    ],
    "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": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "601044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260147802",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cancer Centers of Florida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winter Park, 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.