MEDICARE: ADVANCED PHYSICIAN SPECIALISTS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0001X	Radiation Oncology Physician
2	207RH0003X	Hematology & Oncology Physician

General Provider Information

NPI Number	:	1366600421
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED PHYSICIAN SPECIALISTS

Provider Business Mailing Address
First Line	:	5347 MAIN ST
Second Line	:	SUITE 203
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34652-2506
Country	:	US
Telephone Number	:	727-849-6690
Fax Number	:

Provider Business Practice Location Address
First Line	:	5347 MAIN ST
Second Line	:	SUITE 203
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34652-2506
Country	:	US
Telephone Number	:	727-849-6690
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	MR. NEIL BEDI
Credential	:
Telephone Number	:	941-284-7264

Provider Enumeration Date	:	05/27/2008
Last Update Date	:	05/27/2008

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