Clermont Oncology Center LLC

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

ME91372 Issued in FL

Legal business name

CLERMONT ONCOLOGY CENTER LLC

Practice address

1361 Citrus Tower Blvd
Suite 202
Clermont, FL 34711-1924

Phone

(352) 242-1366

Fax

(352) 242-1372

NPI assigned

May 6, 2014

Organization subpart

No

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

Authorized official

Name

Gopal Kunta, MDNPI 1043209950

Title

President

Phone

(904) 305-0299

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gopal R. Kunta, M.D.

  • Hematology & Oncology Physician
  • Clermont, FL
  • NPI 1043209950
  Medicare reassignment Care Compare group Authorized official
• Sasha Gunther, ARNP

  • Family Nurse Practitioner
  • Orlando, FL
  • NPI 1336865468
  Medicare reassignment Care Compare group NPD
• Shiny Joseph

  • Family Nurse Practitioner
  • Leesburg, FL
  • NPI 1801652151
  Medicare reassignment NPD
• Danielle Simoneaux Purin, APRN, FNP-C

  • Adult Health Nurse Practitioner
  • Orlando, FL
  • NPI 1720769755
  NPD
• Nicole Marie McCain, APRN

  • Gerontology Nurse Practitioner
  • Lake Mary, FL
  • NPI 1649861832
  NPD (past)

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418169600000",
    "number": "1851701239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 CITRUS TOWER BLVD",
            "address_2": "SUITE 202",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111924",
            "telephone_number": "352-242-1366",
            "fax_number": "352-242-1372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 CITRUS TOWER BLVD",
            "address_2": "SUITE 202",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111924",
            "telephone_number": "352-242-1366",
            "fax_number": "352-242-1372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLERMONT ONCOLOGY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-06",
        "last_updated": "2014-12-10",
        "status": "A",
        "authorized_official_last_name": "KUNTA",
        "authorized_official_first_name": "GOPAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-305-0299",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME91372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clermont Pediatric Dentistry, PLLC
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• Clermont Pharmacy LLC
• Clermont Psychological Services

• Hematology & Oncology Physician in Clermont, FL
• Providers in Clermont, FL by specialty
• Hematology & Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.