MID-FLORIDA RADIATION ONCOLOGY PA (NPI# 1285784389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285784389 |
| Entity Type | Organization |
| Organization Name | MID-FLORIDA RADIATION ONCOLOGY PA |
| Other Organization Name | PORT ST. LUCIE CANCER CENTER |
| Practice Address |
1780 Se Hillmoor Dr Port St Lucie FL 34952-7558 |
| Mailing Address |
4400 Country Club Dr Dickinson TX 77539-7620 |
| Practice Telephone | 7723352115 |
| Practice Fax Number | 7723354480 |
| Mailing Telephone | 2813373423 |
| Mailing Fax Number | 2813372611 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. RONALD HARLEN WOODY III (PRESIDENT) |
| Authorized Official Telephone | 7724683222 |
| Authorized Official Credential | M.D., |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0203X |
Clinic/Center Specialization: Oncology, Radiation |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Port St. Lucie Cancer Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609896083 | Mid-florida Radiation Oncology Pa | Clinic/Center | 301 Ne 19th Dr, Okeechobee, FL 34972-1911 | 2006-07-20 |
| Street Address |
1780 SE HILLMOOR DR |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34952-7558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215587068 | Carehere LLC | Family Medicine | Carehere Clinic- St. Lucie Psl, 1680 Se Lyngate Drive, Port St Lucie, FL 34952 | 2019-09-13 |
| 1255998274 | Morningside Alf | Assisted Living Facility | 2233 Se Mroningside Alf, Port Saint Lucie, FL 34952 | 2019-05-24 |
| 1336611870 | Med Braces and Supplies, LLC | Durable Medical Equipment & Medical Supplies | 1484 Se Village Green Dr, Port St Lucie, FL 34952 | 2018-12-21 |
| 1689143794 | The Gift of Recovery, LLC | Counselor | 1801 Sw Hillmoor Drive, Suite C-101, Port St. Lucie, FL 34952 | 2018-11-19 |
| 1457830853 | Cathy L Sonier | Counselor | 357 Brazilian Circle, Port St Lucie, FL 34952 | 2018-08-07 |
| 1548756661 | Blo 7 Diabetes Institute Inc | Nutritionist | 1700 Sw Hillmoor Dr., Suite 305, Port St. Lucie, FL 34952 | 2018-07-02 |
| 1780194464 | Doctor's Choice Medical Center | Clinic/Center | 9164 S Us Highway 1, Port St Lucie, FL 34952 | 2017-10-06 |
| 1801305644 | Thandiwe Daley | Behavior Technician | 1935 Se Hillmoor Drive, Apt#159, Port St Lucie, FL 34952 | 2017-09-25 |
| 1700309408 | Lagrand Evan Andrews | Assistant Behavior Analyst | 265 Se Lenard Rd. Apartment 307, Port St. Lucie, FL 34952 | 2017-07-25 |
| 1578085148 | Lavetta S Ivey | Behavior Technician | 7190 Us Federal Hwy 1, Port Saint Lucie, FL 34952 | 2017-07-14 |
| Find all providers in zip 34952 | ||||
| Taxonomy Code | 261QX0203X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oncology, Radiation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366875387 | Cancer Center of Melbourne LLC | Clinic/Center | 415 S. Wickham Rd., Melbourne, FL 32904 | 2013-08-13 |
| 1326201591 | St Pete Cancer Treatment Center LLC | Clinic/Center | 6449 38th Avenue, Suite C3-d3, North St Petersburg, FL 33710 | 2008-07-08 |
| 1407016678 | Tampa Bay Radiosurgery Management Hillsborough LLC | Clinic/Center | 5935 Webb Rd, Tampa, FL 33615-3219 | 2008-06-11 |
| 1720159247 | Pedro A Serrano-ojeda | Clinic/Center | 3125 Nw 84th Ave, Doral, FL 33122-1994 | 2006-11-13 |
| 1740201912 | North Florida Radiation Oncology LLC | Clinic/Center | 6420 Newberry Road, Gainesville, FL 32605 | 2006-07-22 |
| 1609896083 | Mid-florida Radiation Oncology Pa | Clinic/Center | 301 Ne 19th Dr, Okeechobee, FL 34972-1911 | 2006-07-20 |
| 1700860681 | Epirad Inc. | Clinic/Center | 400 Se Osceola St, Ste. 2, Stuart, FL 34994-2504 | 2005-12-03 |
| 1144211988 | Mid Florida Radiation Oncology Asso | Clinic/Center | 604 W Midway Rd, Fort Pierce, FL 34982-4201 | 2005-11-01 |
| 1659834174 | Sarasota Memorial Hospital | Clinic/Center | 5370 University Pkwy, Sarasota, FL 34243-5800 | 2019-04-11 |
| 1073019352 | Proton International - Delray, LLC | Clinic/Center | 5280 Linton Blvd, Delray Beach, FL 33484-6516 | 2018-04-04 |
| Find all providers with the same taxonomy | ||||
| City | PORT ST LUCIE |
| Zip Code | 34952 |
Please comment or provide details below to improve the information on MID-FLORIDA RADIATION ONCOLOGY PA.
| 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.