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MID-FLORIDA RADIATION ONCOLOGY PA NPI 1609896083


NPI Information

NPI: 1609896083
Provider Name: MID-FLORIDA RADIATION ONCOLOGY PA

Doing Business As: OKEECHOBEE CANCER CENTER

Classification: Clinic/Center - 261QX0203X
Entity Type: Organization

Specialization: Oncology, Radiation

Address:
301 NE 19TH DR
OKEECHOBEE, FL
ZIP 34972
Phone: (863) 357-0039
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MID-FLORIDA RADIATION ONCOLOGY PA is an oncology and radiation clinic center in Okeechobee, FL. MID-FLORIDA RADIATION ONCOLOGY PA NPI is 1609896083. The provider is registered as an organization entity type.
The provider Is Doing Business As Okeechobee Cancer Center.

The provider's business location address is:

301 NE 19TH DR
OKEECHOBEE, FL
ZIP 34972-911
Phone: (863) 357-0039
Fax: (863) 357-4539

The provider's authorized official is Ronald Harlan Woody .
The authorized official title is President and has the following contact phone number (772) 468-3222.

The enumeration date for this NPI number is 7/20/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QX0203XClinic/CenterOncology, RadiationYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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