NPIMap

Organization Active NPI

Well Spring Cancer Center L.L.C.

  • Specialist
  • St Petersburg, FL
National Provider Identifier
1902004799
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
WELL SPRING CANCER CENTER L.L.C.
Practice address
6449 38TH Ave N
Suite C-3
St Petersburg, FL 33710-1655
Phone
(727) 384-3735
Fax
(727) 345-5352
NPI assigned
Jul 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Debra Kimbler
Title
Operations Manger
Phone
(727) 409-1349

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

6449 38TH Ave N
Suite C-3
St Petersburg, FL 33710-1655

Mailing address

6449 38TH Ave N
Suite C-3
Saint Petersburg, FL 33710-1655
Phone (727) 384-3735

National Provider Directory

National Provider Directory
Tax ID family
Well Spring Cancer Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902004799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6449 38TH AVE N",
            "address_2": "SUITE C-3",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337101655",
            "telephone_number": "727-384-3735",
            "fax_number": "727-345-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6449 38TH AVE N",
            "address_2": "SUITE C-3",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101655",
            "telephone_number": "727-384-3735",
            "fax_number": "727-345-5352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL SPRING CANCER CENTER L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIMBLER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "OPERATIONS MANGER",
        "authorized_official_telephone_number": "727-409-1349"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.