WELLSPRING ONCOLOGY (NPI# 1558628404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558628404 |
| Entity Type | Organization |
| Organization Name | WELLSPRING ONCOLOGY |
| Practice Address |
6600 66th St N Pinellas Park FL 33781-5040 |
| Practice Telephone | 7273430600 |
| Practice Fax Number | 7273215421 |
| Mailing Telephone | 7273430600 |
| Mailing Fax Number | 7273215421 |
| Enumeration Date | 2012-04-17 |
| Last Update Date | 2012-04-17 |
| Authorized Official Name | DR. ROBERT MILLER (PHYSICIAN) |
| Authorized Official Telephone | 7273430600 |
| 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 |
1686912 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | ARNP LICENSE NUMBER | 1686912 | 01 |
| Street Address |
6600 66TH ST N |
| City | PINELLAS PARK |
| State | FL |
| Zip Code | 33781-5040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639172505 | National P.e.t. Scan Pinellas, LLC | Clinic/Center | 6600 66th St N, Ste B, Pinellas Park, FL 33781-5040 | 2005-05-24 |
| 1588045660 | Stephen Joseph Shamp | Radiology | 6600 66th St N, Pinellas Park, FL 33781-5040 | 2015-06-15 |
| 1336468461 | David A Bloom | Radiology | 6600 66th St N, Pinellas Park, FL 33781-5040 | 2010-05-28 |
| 1871745513 | Rosario Musella | Neurological Surgery | 6600 66th St N, Pinellas Park, FL 33781-5040 | 2008-10-14 |
| 1881726008 | Zucel Solc | Radiology | 6600 66th St N, Pinellas Park, FL 33781-5040 | 2007-03-12 |
| 1578532750 | Craig Randall Miercort | Radiology | 6600 66th St N, Pinellas Park, FL 33781-5040 | 2006-03-17 |
| 1609849231 | Ra Musella Md Facs Pa | Neurological Surgery | 6600 66th St N, Pinellas Park, FL 33781 | 2006-02-13 |
| 1063495968 | Robert J Miller | Radiology | 6600 66th St N, Pinellas Park, FL 33781-5040 | 2005-11-23 |
| 1376526269 | Frank P Franzese | Radiology | 6600 66th St N, Pinellas Park, FL 33781-5040 | 2005-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215554134 | Tanthia Chanel Delgado | Social Worker | Sequel Care of Florida, 3491 Gandy Blvd, Pinellas Park, FL 33781 | 2020-06-26 |
| 1932722139 | Sunrise Retirement Home LLC | Assisted Living Facility | 4201 70th Ave North, Pinellas Park, FL 33781 | 2020-05-21 |
| 1790319119 | Third Phase Medical, LLC Dba Physical Therapy Now, Pinellas Park | Physical Medicine & Rehabilitation | 6661 49th Street North, Pinellas Park, FL 33781 | 2020-02-25 |
| 1275166621 | Michael Palon | Chiropractor | 6615 49th St N, Pinellas Park, FL 33781 | 2020-02-13 |
| 1679080790 | Hyde Psychological Services LLC | Psychologist | 8130 66th St. N, Suite 10, Pinellas Park, FL 33781 | 2018-01-10 |
| 1184135964 | Susan Nmi Washam | Counselor | 3491 Gandy Blvd, Suite 201, Pinelias Park, FL 33781 | 2017-10-19 |
| 1194131730 | Ivan Samcam | Emergency Medicine | 6640 78th Ave N Ste A, Pinellas Park, FL 33781 | 2014-07-03 |
| 1306278809 | Select Medical Products | Durable Medical Equipment & Medical Supplies | 6531 47th Street North, Pinellas Park, FL 33781 | 2013-08-07 |
| 1639515133 | Kabrena Michelle Williams | Behavioral Analyst | 5030 78th Ave N Ste 11, Pinellas Park, FL 33781 | 2013-05-11 |
| 1649614975 | Dennis Alexander Tenenboym | Podiatrist | 7800 66th St N Ste 207, Pinellas Park, FL 33781 | 2013-04-17 |
| Find all providers in zip 33781 | ||||
| Taxonomy Code | 261QX0203X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oncology, Radiation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 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 |
| 1285784389 | Mid-florida Radiation Oncology Pa | Clinic/Center | 1780 Se Hillmoor Dr, Port St Lucie, FL 34952-7558 | 2007-01-11 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | PINELLAS PARK |
| Zip Code | 33781 |
Please comment or provide details below to improve the information on WELLSPRING ONCOLOGY.
| 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.