OCALA ONCOLOGY CENTER PL (NPI# 1487052171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487052171 |
| Entity Type | Organization |
| Organization Name | OCALA ONCOLOGY CENTER PL |
| Other Organization Name | FLORIDA CANCER AFFILIATES-NORTH FLORIDA |
| Practice Address |
2100 State Ave Panama City FL 32405-4587 |
| Practice Telephone | 8507630036 |
| Practice Fax Number | 8507630259 |
| Mailing Telephone | 8507630036 |
| Mailing Fax Number | 8507630259 |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2016-03-31 |
| Authorized Official Name | DR. ANDREW M. WEBER (PHARMACY DIRECTOR) |
| Authorized Official Telephone | 8507630036 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 332900000X | Non-Pharmacy Dispensing Site | Suppliers | ||
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 265199819 | 05 | |
| FL | 265199800 | 05 |
| Other Name | Type Code |
|---|---|
| FLORIDA CANCER AFFILIATES-NORTH FLORIDA | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093948556 | Ocala Oncology Center Pl | Internal Medicine | 13940 Us Hwy 441 N., Suite 203, Lady Lake, FL 32159-8909 | 2009-09-01 |
| 1356300958 | Ocala Oncology Center Pl | Radiology | 3130 Sw 32nd Ave, Ocala, FL 34474-4445 | 2006-03-22 |
| 1538575410 | Ocala Oncology Center Pl | Internal Medicine | 8140 College Pkwy, Suite 101, Fort Myers, FL 33919-5188 | 2014-07-11 |
| 1396163473 | Ocala Oncology Center Pl | Internal Medicine | 11181 Health Park Blvd, Suite 1180, Naples, FL 34110-5738 | 2014-04-04 |
| 1861818585 | Ocala Oncology Center Pl | Internal Medicine | 13733 Office Park Ct, Suite B, Hudson, FL 34667-7144 | 2014-03-06 |
| 1598186629 | Ocala Oncology Center Pl | Radiology | 14535 Cortez Blvd, Brooksville, FL 34613-6065 | 2013-12-16 |
| 1558782714 | Ocala Oncology Center Pl | Radiology | 13904 Lakeshore Blvd, Suite 410, Hudson, FL 34667-1481 | 2013-12-13 |
| 1265853402 | Ocala Oncology Center Pl | Urology | 11373 Cortez Blvd, Suite 405, Brooksville, FL 34613-5406 | 2013-12-13 |
| 1467873638 | Ocala Oncology Center Pl | Urology | 11373 Cortez Blvd, Suite 209, Brooksville, FL 34613-5414 | 2013-12-13 |
| 1285055442 | Ocala Oncology Center Pl | Pathology | 12900 Cortez Blvd, Suite 101, Brooksville, FL 34613-6828 | 2013-12-13 |
| Street Address |
2100 STATE AVE |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32405-4587 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679522247 | Matthew G Sweetser Md Pa | Internal Medicine | 2100 State Ave, Panama City, FL 32405-4587 | 2006-05-09 |
| 1669028759 | Elise Fredeking | Nurse Practitioner | 2100 State Ave, Panama City, FL 32405-4587 | 2019-08-14 |
| 1427549765 | Sarah Ashley Rowe | Nurse Practitioner | 2100 State Ave, Panama City, FL 32405-4587 | 2018-05-22 |
| 1922246982 | Andrew Michael Weber | Internal Medicine | 2100 State Ave, Panama City, FL 32405-4587 | 2009-01-29 |
| 1700078409 | Steven E Finkelstein | Radiology | 2100 State Ave, Panama City, FL 32405-4587 | 2007-08-16 |
| 1053521682 | Kazumi Chino | Radiology | 2100 State Ave, Panama City, FL 32405-4587 | 2007-05-23 |
| 1871523050 | Aoa Gulf Coast Partners Lp | Specialist | 2100 State Ave, Panama City, FL 32405-4587 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457962136 | Kimberlea Fox | Behavioral Analyst | 4750 Collegiate Drive, Technology Building 157, Panama City, FL 32405 | 2020-08-14 |
| 1598325714 | Covenant Home Health Care, LLC | Home Health | 107 W. 19th Street, Panama City, FL 32405 | 2019-06-19 |
| 1467921403 | Amy Hancock | Counselor | 1212 W. 19th St., Panama City, FL 32405 | 2018-11-20 |
| 1063991917 | Patricia Kagendo Mutunga | Day Training, Developmentally Disabled Services | 2813 Fairmont Dr, Panama City, FL 32405 | 2018-08-11 |
| 1871087882 | Southeastern Dermatology Group Pa | Pharmacy | 2505 Harrison Ave Ste A, Panama City, FL 32405 | 2018-06-22 |
| 1346733615 | Jessica Nicole Graham | Nurse Practitioner | 2507 Harrison Ave Unit 101, Panama City, FL 32405 | 2018-06-12 |
| 1437658424 | Coastal Mobility Transportation, LLC | Non-emergency Medical Transport (VAN) | 203 Forest Park Circle, Panama City, FL 32405 | 2018-02-06 |
| 1003314915 | The Anti-aging Clinic of Northwest Florida | Obstetrics & Gynecology | 3019 Osprey Cir, Panama City, FL 32405 | 2018-01-25 |
| 1255848487 | Sarah Theriot | Social Worker | 700 W 23rd St Bldg H, Panama City, FL 32405 | 2018-01-09 |
| 1336686054 | Angela Leake | Registered Nurse | 449 W 23 St, Panama City, FL 32405 | 2017-01-20 |
| Find all providers in zip 32405 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679522247 | Matthew G Sweetser Md Pa | Internal Medicine | 2100 State Ave, Panama City, FL 32405-4587 | 2006-05-09 |
| 1174510184 | Syed Khalid Mahmood | Internal Medicine | 2614 Jenks Ave, Panama City, FL 32405-4311 | 2005-10-04 |
| 1316266828 | Kun Frank Lu Md Pa | Internal Medicine | 2417 Jenks Ave, Panama City, FL 32405-4308 | 2010-05-24 |
| 1669582508 | Syed K Mahmood P A | Internal Medicine | 2614 Jenks Ave, Panama City, FL 32405-4311 | 2006-08-30 |
| 1437187192 | Fernando C Malamud Md Pa | Internal Medicine | 2202 State Ave, Suite 11, Panama City, FL 32405-7601 | 2006-06-29 |
| 1780651471 | Fernando C Malamud | Internal Medicine | 2202 State Ave, Suite 111, Panama City, FL 32405-7601 | 2006-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194343210 | Jayaben Patel | Internal Medicine | 11818 Shire Wycliffe Ct, Tampa, FL 33626-3329 | 2020-07-07 |
| 1922628833 | Heme Onc Call, LLC | Internal Medicine | 5825 Sw 117th St, Pinecrest, FL 33156-5007 | 2020-04-21 |
| 1457851552 | Yvette M Herrington | Internal Medicine | 425 S Parsons Ave Ste 101, Brandon, FL 33511-5290 | 2018-02-15 |
| 1104360221 | Mid Florida Hematology and Oncology Centers Pa | Internal Medicine | 658 Oviedo Medical Drive, Oviedo, FL 32765 | 2016-12-08 |
| 1225424369 | Florence Arnold | Internal Medicine | 3830 Bee Ridge Rd Ste 301, Sarasota, FL 34233 | 2015-04-15 |
| 1073901187 | Edward Mcaloon | Internal Medicine | 108 Homeport Dr, Palm Harbor, FL 34683-5409 | 2014-12-26 |
| 1063818235 | Barry M. Krein | Internal Medicine | 4220 Careywood Dr, Melbourne, FL 32934-7679 | 2014-11-14 |
| 1912311630 | David Longacre | Internal Medicine | 2439 Weymouth Dr, Clearwater, FL 33764-6556 | 2014-06-20 |
| 1508270778 | Gerard Chaaya | Internal Medicine | 4306 Alton Rd Fl 3, Miami Beach, FL 33140-2840 | 2014-06-16 |
| 1982026670 | Mid Florida Hematology and Oncology Centers Pa | Internal Medicine | 2100 W 1st St, Sanford, FL 32771-1603 | 2014-01-14 |
| Find all providers with the same taxonomy | ||||
| City | PANAMA CITY |
| Zip Code | 32405 |
Please comment or provide details below to improve the information on OCALA ONCOLOGY CENTER PL.
| 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.