CENTRAL FLORIDA CANCER INSTITUTE PA (NPI# 1306870092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306870092 |
| Entity Type | Organization |
| Organization Name | CENTRAL FLORIDA CANCER INSTITUTE PA |
| Practice Address |
1420 Celebration Blvd Suite 308 Celebration FL 34747-5159 |
| Practice Telephone | 4075669899 |
| Practice Fax Number | 4075669893 |
| Mailing Telephone | 4075669899 |
| Mailing Fax Number | 4075669893 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2014-04-18 |
| Authorized Official Name | DR. RANDY V HEYSEK (CEO/PRESIDENT) |
| Authorized Official Telephone | 8632846950 |
| Authorized Official Credential | M.D. |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235478603 | Central Florida Cancer Institute Pa | Clinic/Center | 40107 Highway 27, Davenport, FL 33837-5901 | 2013-02-05 |
| 1780923151 | Central Florida Cancer Institute Pa | Clinic/Center | 2 State Road 60 W, Lake Wales, FL 33853-4118 | 2013-02-05 |
| Street Address |
1420 CELEBRATION BLVD SUITE 308 |
| City | CELEBRATION |
| State | FL |
| Zip Code | 34747-5159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508229279 | Comfort First Neurodiagnostics, LLC | Specialist/Technologist, Other | 1420 Celebration Blvd, Suite 200, Celebration, FL 34747-5159 | 2016-03-31 |
| 1528445798 | Preferred Care At Home | Custodial Care Facility | 1420 Celebration Blvd, Suite 200, Celebration, FL 34747-5159 | 2015-04-27 |
| 1427329085 | Wisdom for Living,.inc. | Community/Behavioral Health | 1420 Celebration Blvd, Suite 200, Celebration, FL 34747-5159 | 2012-01-13 |
| 1023262458 | Krista Michiels Marchman | Psychologist | 1420 Celebration Blvd, Suite 200, Celebration, FL 34747-5159 | 2008-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861974073 | Keiler Heberto Moreno Rivero, P.a. | Internal Medicine | 2954 Mallory Cir #200, Kissimmee, FL 34747 | 2018-09-04 |
| 1437644952 | Tri-county Nursing and Rehabilitation Center Inc | Skilled Nursing Facility | 1290 Celebration Blvd, Kissimmee, FL 34747 | 2018-06-27 |
| 1669918579 | Kyle Mcclurg | Specialist/Technologist | 700 S Victory Way, Kissimmee, FL 34747 | 2017-01-17 |
| 1194277913 | Norma Ivelisse Arzola | Counselor | 7519 Pellham Way, Kissimmee, FL 34747 | 2016-10-27 |
| 1528416625 | Guillermo Rivera | Counselor | 8401 Titkos Drive Apt 201, Kissimmee, FL 34747 | 2016-05-31 |
| 1659780625 | Keiler Moreno Rivero | Internal Medicine | 2954 Mallory Cir, Suite 200, Kissimmee, FL 34747 | 2014-08-04 |
| 1538596309 | Chad Black Md, LLC | Family Medicine | 610 Sycamore Street Suite 130, Celebration, FL 34747 | 2013-10-10 |
| 1598046344 | Adventist Health System/sunbelt, Inc. | Non-Pharmacy Dispensing Site | 8201 W. Irlo Bronson Hwy, Kissimmee, FL 34747 | 2011-09-07 |
| 1447467170 | Matthew W Johnston | Orthopaedic Surgery | 410 Celectration Place, Suite 106, Celebration, FL 34747 | 2007-05-16 |
| 1457563538 | Eric Edwin Malek | Specialist/Technologist | 700 South Victory Way, Kissimmee, FL 34747 | 2007-05-03 |
| Find all providers in zip 34747 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1932718509 | Coral Diagnostic Center Inc | Clinic/Center | 12002 Sw 128th Ct Ste 202, Miami, FL 33186-4643 | 2020-07-29 |
| 1902422215 | Andreu Health Care Therapy Corp | Clinic/Center | 175 Fontainebleau Blvd Ste 2g7, Miami, FL 33172-7012 | 2020-06-23 |
| 1306461447 | Elevate Medical Fort Myers, LLC | Clinic/Center | 1850 Boy Scout Dr Ste A102, Fort Myers, FL 33907-2127 | 2020-06-15 |
| 1629699889 | Comprehensive Cardiovascular Institute, Pllc | Clinic/Center | 17 Davis Blvd Ste 313, Tampa, FL 33606-3438 | 2020-04-29 |
| Find all providers with the same taxonomy | ||||
| City | CELEBRATION |
| Zip Code | 34747 |
Please comment or provide details below to improve the information on CENTRAL FLORIDA CANCER INSTITUTE 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.