MEDICARE: ONCOLOGY CARE PARTNERS OF FLORIDA LLC

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	332900000X	Non-Pharmacy Dispensing Site

General Provider Information

NPI Number	:	1598548299
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONCOLOGY CARE PARTNERS OF FLORIDA LLC

Provider Business Mailing Address
First Line	:	9400 NW 12TH AVE BAY 6
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33150-2025
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9400 NW 12TH AVE BAY 6
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33150-2025
Country	:	US
Telephone Number	:	305-779-0040
Fax Number	:	786-401-1394

Authorized Official
Title or Position	:	SVP
Name	:	DAVID EAGLETON
Credential	:
Telephone Number	:	314-323-0445

Provider Enumeration Date	:	08/16/2023
Last Update Date	:	08/16/2023

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