Florida Cancer Physicians Network LLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

FLORIDA CANCER PHYSICIANS NETWORK LLC

Practice address

200 Avenue F NE
Dept of Radiation Oncology
Winter Haven, FL 33881-4131

Phone

(863) 297-1865

Fax

(863) 291-6025

NPI assigned

Jul 26, 2010

Last updated

Sep 21, 2012By 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

Nick Hernandez, MBA FACHE

Title

VP Indiana & S Florida Operations

Phone

(813) 662-6024

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

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.

• Jayanth G Rao, M.D.

  • Radiation Oncology Physician
  • Beverly Hills, FL
  • NPI 1528053162
  NPD (past)

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348185600000",
    "number": "1790098234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 W VIRGINIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076327",
            "telephone_number": "813-662-6024",
            "fax_number": "813-514-1257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 AVENUE F NE",
            "address_2": "DEPT OF RADIATION ONCOLOGY",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814131",
            "telephone_number": "863-297-1865",
            "fax_number": "863-291-6025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA CANCER PHYSICIANS NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-26",
        "last_updated": "2012-09-21",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "VP INDIANA & S FLORIDA OPERATIONS",
        "authorized_official_telephone_number": "813-662-6024",
        "authorized_official_credential": "MBA FACHE"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0014A",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002715002",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DR0495",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney C Fitz
• Five Star Professional Home Care Staffing 2
• Khalilah Yvonne Flagg
• Jeffrey Flores
• Ian Lawrence Medina Floresta, PHARMD
• Florida Care Services, LLC
• Florida ENT Associates, Inc. (South Florida ENT Associates, Inc.)
• Florida Joint & Spine Institute PA
• Florida Medical Center PL
• Florida Orthopaedic Specialty Associates, LLC.

• Radiation Oncology Physician in Winter Haven, FL
• Providers in Winter Haven, 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 Sep 21, 2012; 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.