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General NPI Number Information
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NPI Number | 1588844427
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Entity Type | Organization
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Legal Business Name | MID FLORIDA RADIATION ONCOLOGY ASSO
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Dates
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Enumeration Date | 11/08/2007
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Last Update Date | 04/01/2008
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Provider Practice Location Address
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Address Line | 1006 N PARROTT AVE
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City | OKEECHOBEE
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State | FL
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Zip | 34972-2110
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Country | US
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Telephone | 863-357-4138
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Fax |
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Provider Business Mailing Address
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Address Line | 4400 COUNTRY CLUB DR
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City | DICKINSON
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State | TX
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Zip | 77539-7620
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Country | US
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Telephone | 281-337-3423
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RONALD HARLAN WOODY III
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Credential | M.D.,
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Telephone | 772-468-3222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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