MID-FLORIDA RADIATION ONCOLOGY PA (NPI# 1609896083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609896083 |
| Entity Type | Organization |
| Organization Name | MID-FLORIDA RADIATION ONCOLOGY PA |
| Other Organization Name | OKEECHOBEE CANCER CENTER |
| Practice Address |
301 Ne 19th Dr Okeechobee FL 34972-1911 |
| Mailing Address |
4400 Country Club Dr Dickinson TX 77539-7620 |
| Practice Telephone | 8633570039 |
| Practice Fax Number | 8633574539 |
| Mailing Telephone | 2813373423 |
| Mailing Fax Number | 2813372611 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. RONALD HARLAN WOODY (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 |
|---|---|
| Okeechobee Cancer Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285784389 | Mid-florida Radiation Oncology Pa | Clinic/Center | 1780 Se Hillmoor Dr, Port St Lucie, FL 34952-7558 | 2007-01-11 |
| Street Address |
301 NE 19TH DR |
| City | OKEECHOBEE |
| State | FL |
| Zip Code | 34972-1911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942575196 | Okeechobee Regional Cancer Center Inc | Clinic/Center | 301 Ne 19th Dr, Okeechobee, FL 34972-1911 | 2012-03-20 |
| 1407027873 | Sharon Gwyn Barrineau | Nurse Practitioner | 301 Ne 19th Dr, Okeechobee, FL 34972-1911 | 2008-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093332439 | Jennifer Elisha Tillman | Case Manager/Care Coordinator | 304 Nw 5th St Plaza 300, Okeechobee, FL 34972 | 2020-07-01 |
| 1265923379 | Terry Oneal Williams | Adult Companion | 1112 Nw Park Street, Okeechobee, FL 34972 | 2018-05-24 |
| 1720445414 | Anchor Dental Okeechobee, Pa | Dentist | 608 North Parrot Ave, Okeechobee, FL 34972 | 2016-01-26 |
| 1538436522 | Everglades Pediatric Dentistry, LLC | Dentist | 2029 Highway 441 North, Okeechobee, FL 34972 | 2011-11-19 |
| 1023301009 | Casandra Denise Wait | Developmental Therapist | 314 Nw 5th Street, Suite 314, Okeechobee, FL 34972 | 2011-05-24 |
| 1710205224 | Jeannie Moore Anderson | Mechanotherapist | 1865 Nw 5th St, Okeechobee, FL 34972 | 2010-05-07 |
| 1619128162 | Frances Elizabeth Fongkin | Nurse Practitioner | 208 Ne 19th Drive, Okeechobee, FL 34972 | 2008-10-02 |
| 1356528210 | Raulerson Gyn LLC | Obstetrics & Gynecology | 1713 Highway 441 North, Suite F, Okeechobee, FL 34972 | 2008-01-23 |
| 1952529745 | Michael A Garvin Dpm Pa | Podiatrist | 235 Ne 19th Drive, Okeechobee, FL 34972 | 2007-04-24 |
| 1730306473 | George Lee Roberson | Social Worker | 16800 N Hwy 441, Okeechobee, FL 34972 | 2007-04-20 |
| Find all providers in zip 34972 | ||||
| Taxonomy Code | 261QX0203X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oncology, Radiation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942575196 | Okeechobee Regional Cancer Center Inc | Clinic/Center | 301 Ne 19th Dr, Okeechobee, FL 34972-1911 | 2012-03-20 |
| 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 |
| 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 |
| 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 | OKEECHOBEE |
| Zip Code | 34972 |
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.