CENTRAL FLORIDA CANCER INSTITUTE PA (NPI# 1235478603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235478603 |
| Entity Type | Organization |
| Organization Name | CENTRAL FLORIDA CANCER INSTITUTE PA |
| Practice Address |
40107 Highway 27 Davenport FL 33837-5901 |
| Mailing Address |
1420 Celebration Blvd Celebration FL 34747-5159 |
| Practice Telephone | 8634190692 |
| Practice Fax Number | 8634191695 |
| Mailing Telephone | 4075669899 |
| Mailing Fax Number | 4075669899 |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2014-04-18 |
| Authorized Official Name | GEORGE MARTINEZ (CFO) |
| Authorized Official Telephone | 4075669899 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
ME51222 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 263977700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780923151 | Central Florida Cancer Institute Pa | Clinic/Center | 2 State Road 60 W, Lake Wales, FL 33853-4118 | 2013-02-05 |
| 1306870092 | Central Florida Cancer Institute Pa | Clinic/Center | 1420 Celebration Blvd, Suite 308, Celebration, FL 34747-5159 | 2006-07-10 |
| Street Address |
40107 HIGHWAY 27 |
| City | DAVENPORT |
| State | FL |
| Zip Code | 33837-5901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164881355 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 40107 Highway 27, Suite 200, Davenport, FL 33837-5901 | 2016-02-16 |
| 1689917445 | Florida Vein Care Specialists LLC | Surgery | 40107 Highway 27, Davenport, FL 33837-5901 | 2013-03-30 |
| 1659673697 | Vladimir Mouraviev | Urology | 40107 Highway 27, Davenport, FL 33837-5901 | 2010-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922612274 | Kimberly Zariya Honaker | Massage Therapist | 398 Madison Drive, Davenport, FL 33837 | 2020-09-03 |
| 1609480375 | Sun Health and Wellness, Inc | Pharmacy | 109 Park Place Blvd, Suite A, Davenport, FL 33837 | 2020-09-01 |
| 1093323156 | Tammey Davis Payne | Counselor | 1423 Merrimack Lane, Davenport, FL 33837 | 2020-07-15 |
| 1346872835 | Shelly Hanson | Dietitian, Registered | 40100 Us 27, Davenport, FL 33837 | 2020-02-12 |
| 1689221269 | Adventist Health System /sunbelt, Inc. | Clinic/Center | 40124 Us Hwy 27, Suite 205, Davenport, FL 33837 | 2019-08-20 |
| 1578029039 | Portia P White | In Home Supportive Care | 108 East James St, Davenport, FL 33837 | 2019-02-20 |
| 1366937146 | Sheetal Kirat Parikh | Dietitian, Registered | 40100 Us Highway 27, Davenport, FL 33837 | 2018-06-25 |
| 1063929883 | Marisa Christine Sweetser | Registered Nurse | 40100 Us-27, Davenport, FL 33837 | 2018-01-02 |
| 1104341460 | Haley Kampf | Behavioral Analyst | 4303 Cortland Dr, Davenport, FL 33837 | 2017-08-08 |
| 1013438373 | Tamara Michelle Ortiz | Speech-Language Pathologist | 206 Nova Drive, Davenport, FL 33837 | 2017-06-27 |
| Find all providers in zip 33837 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.