Healthcare Provider Details

I. General information

NPI: 1376511089
Provider Name (Legal Business Name): TAMPA BAY RADIATION ONCOLOGY, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2006
Last Update Date: 02/11/2026
Certification Date: 02/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

403 S KINGS AVE STE 150
BRANDON FL
33511-5980
US

IV. Provider business mailing address

403 S KINGS AVE STE 150
BRANDON FL
33511-5980
US

V. Phone/Fax

Practice location:
  • Phone: 813-324-9900
  • Fax: 813-685-3019
Mailing address:
  • Phone: 813-324-9900
  • Fax: 813-685-3019

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085R0203X
TaxonomyTherapeutic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: JOHN R. STEEL
Title or Position: PRESIDENT
Credential: M.D.
Phone: 813-324-9900