Florida Cancer Physicians Network LLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

FLORIDA CANCER PHYSICIANS NETWORK LLC

Doing business as

Cyberknife Cancer Center at Brandon Regional Hospital

Practice address

425 S Parsons Ave
Suite 102
Brandon, FL 33511-5289

Phone

(813) 571-6464

Fax

(813) 571-6465

NPI assigned

Jul 26, 2010

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

Other names 1

• Cyberknife Cancer Center at Brandon Regional Hospital Doing business as

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348444800000",
    "number": "1831402361",
    "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": "425 S PARSONS AVE",
            "address_2": "SUITE 102",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115289",
            "telephone_number": "813-571-6464",
            "fax_number": "813-571-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA CANCER PHYSICIANS NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-26",
        "last_updated": "2012-09-24",
        "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": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002715004",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0014A",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DR0495",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cyberknife Cancer Center at Brandon Regional Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Victoria Flores-Carlson, CRNA
• Bonnie C Flores
• Florida Autism Center
• Florida Autism Center
• Florida Cancer Physicians Network LLC
• Florida Cancer Specialists & Research Institute, LLC
• Florida Cardio Thoracic & Vascular Consultants PA
• Florida Hematology & Oncology Center P.a.
• Florida Inpatient Services
• Florida Living Options Inc

• Radiation Oncology Physician in Brandon, FL
• Providers in Brandon, 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 24, 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.