Florida Oncology Network PA

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

ME56371 Issued in FL

Legal business name

FLORIDA ONCOLOGY NETWORK PA

Practice address

1055 Saxon Blvd
Orange City, FL 32763-8468

Phone

(386) 917-5526

Fax

(386) 917-5553

NPI assigned

Oct 23, 2007

Last updated

Aug 9, 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

Robert James Sollaccio, M.D.

Title

President

Phone

(407) 872-7786

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344470400000",
    "number": "1801085162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1031",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328021031",
            "telephone_number": "407-872-7786",
            "fax_number": "407-872-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 SAXON BLVD",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638468",
            "telephone_number": "386-917-5526",
            "fax_number": "386-917-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA ONCOLOGY NETWORK PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2012-08-09",
        "status": "A",
        "authorized_official_last_name": "SOLLACCIO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-872-7786",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME56371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE SUFFIX",
            "identifier": "24852F",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Florida Health Care Plan, Inc (FHCP ASC - Orange City)
• Florida Health Care Plan, Inc. (Florida Health Care Plan Pharmacy)
• Florida Home Medical Supply, Inc. (Colonial Medical Supplies)
• Florida Injury Deltona, Inc
• Florida Kidney and Hypertension Specialists PA
• Florida Orthopaedic Associates PA
• Florida Radiology Management LLC
• Florida's Vision Quest, Inc
• Bridie Flynn, COTA/L
• Lynn Flynn, CPNP

• Radiation Oncology Physician in Orange City, FL
• Providers in Orange City, 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 Aug 9, 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.