Organization Active NPI

Center for Radiation Oncology of Tampa Bay in

  • Radiation Oncology Physician
  • Zephyrhills, FL
National Provider Identifier
1972500841
Registry record updated Nov 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
59-3204668 Issued in FL
Legal business name
CENTER FOR RADIATION ONCOLOGY OF TAMPA BAY IN
Doing business as
Center For Radiation Oncology
Practice address
7315 Green Slope Dr
Zephyrhills, FL 33541-1314
Phone
(813) 783-8614
Fax
(813) 783-8538
NPI assigned
Jul 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2012

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

Authorized official

Name
Mr. Nick L Hernandez, MBA, FACHE
Title
VP Indiana and South Florida Operai
Phone
(813) 662-6024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X 59-3204668 FL Primary

Addresses

Primary practice location

7315 Green Slope Dr
Zephyrhills, FL 33541-1314

Mailing address

2715 West Virginia Avenue
Tampa, FL 33607-6327
Phone (813) 662-6024

Other identifiers 1

IdentifierTypeStateIssuer
264462200MedicaidFL

Other names 1

  • Center For Radiation Oncology Doing business as

National Provider Directory

National Provider Directory

Locations

720 Cortaro Dr
Sun City Ctr, FL 33573
Phone (813) 633-5513

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351728000000",
    "number": "1972500841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 WEST VIRGINIA AVENUE",
            "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": "7315 GREEN SLOPE DR",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335411314",
            "telephone_number": "813-783-8614",
            "fax_number": "813-783-8538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR RADIATION ONCOLOGY OF TAMPA BAY IN",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2012-11-01",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "NICK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP INDIANA AND SOUTH FLORIDA OPERAI",
        "authorized_official_telephone_number": "813-662-6024",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA, FACHE"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "59-3204668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264462200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center For Radiation Oncology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Zephyrhills, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.