ROBERT BRUCE KILLEEN JR. M.D. P.A. (NPI# 1730570219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730570219 |
| Entity Type | Organization |
| Organization Name | ROBERT BRUCE KILLEEN JR. M.D. P.A. |
| Other Organization Name | HEMATOLOGY ONCOLOGY ASSOCIATES |
| Practice Address |
2520 Us Highway 19 Holiday FL 34691-3846 |
| Practice Telephone | 7279450515 |
| Practice Fax Number | 7279344045 |
| Mailing Telephone | 7279450515 |
| Mailing Fax Number | 7279344045 |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2015-02-05 |
| Authorized Official Name | DR. ROBERT BRUCE KILLEEN JR. (PRESIDENT) |
| Authorized Official Telephone | 7279450515 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME58217 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 054208300 | 05 |
| Other Name | Type Code |
|---|---|
| Hematology Oncology Associates | Doing Business As Name - Organization |
| Street Address |
2520 US HIGHWAY 19 |
| City | HOLIDAY |
| State | FL |
| Zip Code | 34691-3846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245222447 | Roberta Marie Killeen | Pathology | 2520 Us Highway 19, Holiday, FL 34691-3846 | 2005-08-16 |
| 1609039361 | Roberta M Killeen Md Pa | Clinical Medical Laboratory | 2520 Us Highway 19, Holiday, FL 34691-3846 | 2008-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417407826 | Janet Hernandez | Nurse Practitioner | 2435 Us Hwy 19, Suite 210, Holiday, FL 34691 | 2016-10-10 |
| 1285081869 | Jeannie Giberson | General Acute Care Hospital | 4313 Tahitian Gardens Drive K2, Holiday, FL 34691 | 2016-05-24 |
| 1790108058 | Home Medical Visits LLC | Internal Medicine | 2435 Us Highway 19 Ste 300, Holiday, FL 34691 | 2014-01-22 |
| 1770878712 | Rachel Rosa | Behavioral Analyst | 4249 Plaza Drive #304, Holiday, FL 34691 | 2011-06-17 |
| 1144414574 | Shervin Ardalani | Dentist | 4539 Sunray Drive, None, Holiday, FL 34691 | 2007-08-29 |
| 1245440874 | Gulf Coast Jewish Family Services | Psychiatric Residential Treatment Facility | 3142 Darlington Road, Holiday, FL 34691 | 2007-05-23 |
| 1659416626 | Michael M Shaw | Counselor | 2425 Chatlin Road, Holiday, FL 34691 | 2007-02-20 |
| 1316957947 | George William Lazenby | Ophthalmology | 1109 Us Hwy 19, Holiday, FL 34691 | 2006-08-08 |
| 1770531899 | Rajesh V Patel | Internal Medicine | 1162 Alternate 19 N, Holiday, FL 34691 | 2006-05-04 |
| 1871560904 | Vikram M Atit | Psychiatry & Neurology | 1011 Us Hwy 19, Holiday, FL 34691 | 2006-03-07 |
| Find all providers in zip 34691 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538580634 | Virginia J Clark | Specialist | 4806 Mile Stretch Dr, Holiday, FL 34690-4358 | 2013-12-17 |
| 1619123312 | Atit Neurology Pa | Specialist | 1011 Us Highway 19, Holiday, FL 34691-5636 | 2008-08-13 |
| 1033325527 | Diana Morris | Specialist | 3349 Cantrell St, Holiday, FL 34690-1820 | 2007-05-14 |
| 1003910134 | Diana Patricia Mcgrath | Specialist | 2435 Us Highway 19, Suite 100, Holiday, FL 34691-3903 | 2006-09-11 |
| 1063435378 | Derrick Alan Sovel | Specialist | 2435 Us Highway 19, Suite 100, Holiday, FL 34691-3903 | 2006-07-26 |
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| 1316562911 | A School 4 Legends LLC | Specialist | 11565 Se 57th Ct, Belleview, FL 34420-4361 | 2020-06-10 |
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| 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.