Healthcare Provider Details

I. General information

NPI: 1043202245
Provider Name (Legal Business Name): WILLIAM A ASSAD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2005
Last Update Date: 11/24/2025
Certification Date: 11/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 S ARMENIA AVE
TAMPA FL
33609-4123
US

IV. Provider business mailing address

PO BOX 18002
TAMPA FL
33679-8002
US

V. Phone/Fax

Practice location:
  • Phone: 813-353-8803
  • Fax: 813-353-8602
Mailing address:
  • Phone: 813-353-8803
  • Fax: 813-353-8602

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberME0048722
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number35.154683
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: