CENTER FOR RADIATION ONCOLOGY OF TAMPA BAY IN (NPI# 1497752729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497752729 |
| Entity Type | Organization |
| Organization Name | CENTER FOR RADIATION ONCOLOGY OF TAMPA BAY IN |
| Other Organization Name | CENTER FOR RADIATION ONCOLOGY |
| Practice Address |
717 W Robertson St Brandon FL 33511-4921 |
| Mailing Address |
2715 West Virginia Avenue Tampa FL 33607-6327 |
| Practice Telephone | 8136616339 |
| Practice Fax Number | 8136616442 |
| Mailing Telephone | 8136626024 |
| Mailing Fax Number | 8135141257 |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2012-11-01 |
| Authorized Official Name | MR. NICK L HERNANDEZ (VP INDIANA AND SOUTH FLORIDA OPERAI) |
| Authorized Official Telephone | 8136626024 |
| Authorized Official Credential | MBA, FACHE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
27091 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 264462200 | 05 |
| Other Name | Type Code |
|---|---|
| Center for Radiation Oncology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972500841 | Center for Radiation Oncology of Tampa Bay In | Radiology | 7315 Green Slope Dr, Zephyrhills, FL 33541-1314 | 2005-07-07 |
| 1770783441 | Center for Radiation Oncology of Tampa Bay In | Radiology | 2715 W Virginia Ave, Tampa, FL 33607-6327 | 2007-07-20 |
| 1831397926 | Center for Radiation Oncology of Tampa Bay In | Radiology | 720 Cortaro Dr, Sun City Center, FL 33573-6811 | 2007-07-10 |
| Street Address |
717 W ROBERTSON ST |
| City | BRANDON |
| State | FL |
| Zip Code | 33511-4921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891099032 | Physicians for A Community United for Research and Education LLC | Radiology | 717 W Robertson St, Brandon, FL 33511-4921 | 2011-01-03 |
| 1528371069 | Florida Cancer Physicians Network LLC | Radiology | 717 W Robertson St, Brandon, FL 33511-4921 | 2010-07-26 |
| 1790722957 | Laurel E Ciccarello | Nurse Practitioner | 717 W Robertson St, Brandon, FL 33511-4921 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295367555 | Ability Beyond Measures LLC. | Clinic/Center | 2705 Isabella Valley Court, Brandon, FL 33511 | 2020-02-05 |
| 1831744655 | Brandon Modern Dentistry, Pa | Dentist | 971 E. Bloomingdale Avenue, Brandon, FL 33511 | 2019-08-08 |
| 1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
| 1841842895 | Rebecca Harrelson | Counselor | 915 Oakfield Drive, Suite E, Brandon, FL 33511 | 2019-07-10 |
| 1043779713 | Cheryl Diane Hart | Nurse Practitioner | 888 S Parsons Ave., Brandon, FL 33511 | 2019-03-13 |
| 1306303177 | Paula J Buchwald | Nurse Practitioner | 888 S. Parsons Ave, Brandon, FL 33511 | 2019-02-27 |
| 1063993996 | Ashlee Marie Shevchenko | Speech-Language Pathologist | 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 | 2018-08-28 |
| 1275023012 | Ava Cares, LLC | Assisted Living Facility | 3005 Bell Shoals Rd., Brandon, FL 33511 | 2018-05-17 |
| 1346738705 | Tampa Psychology Group | Psychologist | 1463 Oakfield Dr Ste 109, Brandon, FL 33511 | 2018-05-01 |
| 1760982987 | Suresh Lama Tamang | Counselor | 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 | 2018-02-14 |
| Find all providers in zip 33511 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760663991 | Virginia R. Goytia | Radiology | 621 Lumsden Professional Ct, Brandon, FL 33511 | 2007-11-15 |
| 1891099032 | Physicians for A Community United for Research and Education LLC | Radiology | 717 W Robertson St, Brandon, FL 33511-4921 | 2011-01-03 |
| 1528371069 | Florida Cancer Physicians Network LLC | Radiology | 717 W Robertson St, Brandon, FL 33511-4921 | 2010-07-26 |
| 1831402361 | Florida Cancer Physicians Network LLC | Radiology | 425 S Parsons Ave, Suite 102, Brandon, FL 33511-5289 | 2010-07-26 |
| 1750615183 | Physicians for A Community United for Research and Ecudation LLC | Radiology | 425 S Parsons Ave, Suite 102, Brandon, FL 33511-5289 | 2009-10-02 |
| 1467683839 | Integrated Community Oncology Network LLC | Radiology | 425 S Parsons Ave, Suite 102, Brandon, FL 33511-5289 | 2009-08-04 |
| 1629229646 | Nmc LLC | Radiology | 621 Lumsden Professional Ct, Brandon, FL 33511-5996 | 2008-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539079 | Mydoctoreb LLC | Radiology | 17407 Lotino Pl, Lutz, FL 33548-4815 | 2020-08-20 |
| 1417516600 | Arthur J. Iglesias, M.d. P.a. | Radiology | 1100 N.w. 95th Street, Cancer Center, Miami, FL 33150 | 2019-06-11 |
| 1962970111 | William A Assad, M.d. | Radiology | 3202 Henderson Blvd Ste 204a, Tampa, FL 33609-3043 | 2018-11-06 |
| 1508361361 | Marian Ingram | Radiology | 350 Nw 84th Ave Ste 102, Plantation, FL 33324-1820 | 2018-03-26 |
| 1376051870 | Indian River Health Services Inc | Radiology | 3555 10th Ct Ste 101, Vero Beach, FL 32960-5013 | 2018-01-18 |
| 1417492497 | Flagler Hospital, Inc. | Radiology | 97 Health Park Blvd, Saint Augustine, FL 32086-5777 | 2016-12-29 |
| 1447614441 | Benjamin Spieler | Radiology | 1475 Nw 12th Ave # Sccc1500, Miami, FL 33136-1002 | 2016-04-06 |
| 1629461371 | Florida Oncology Tavares, LLC | Radiology | 2010 Nightingale Ln, Tavares, FL 32778-4361 | 2015-03-05 |
| 1285042036 | Gulf Region Radiation Oncology Centers | Radiology | 1545 Airport Blvd Ste 1000, Pensacola, FL 32504-8615 | 2014-07-24 |
| 1962812917 | Florida Oncology Partners LLC | Radiology | 1100 N.w. 95 Street, Cancer Center, Miami, FL 33150-2038 | 2014-04-29 |
| Find all providers with the same taxonomy | ||||
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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.