Healthcare Provider Details

I. General information

NPI: 1831116276
Provider Name (Legal Business Name): E PLUS FLORIDA COMPREHENSIVE CANCER CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2006
Last Update Date: 12/13/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7000 NW 11TH PL
GAINESVILLE FL
32605-3144
US

IV. Provider business mailing address

104 WOODMONT BLVD 500
NASHVILLE TN
37205-2245
US

V. Phone/Fax

Practice location:
  • Phone: 352-331-0900
  • Fax: 352-331-1511
Mailing address:
  • Phone: 615-467-7400
  • Fax: 615-467-7401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT RHYMER
Title or Position: CCOO
Credential:
Phone: 615-467-7415