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NPI Code Detail

MEDICARE: FLORIDA ONCOLOGY NETWORK PA

MEDICARE: FLORIDA ONCOLOGY NETWORK PA
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
12085R0001XRadiation Oncology PhysicianME56371FL

General Provider Information

NPI Number : 1336337468
Entity Type Code : Organization
Provider Name (Legal Business Name) : FLORIDA ONCOLOGY NETWORK PA
Provider Business Mailing Address
First Line : PO BOX 1031
Second Line :
City : ORLANDO
State : FL
Zip : 32802-1031
Country : US
Telephone Number : 407-872-7786
Fax Number : 407-872-3630
Provider Business Practice Location Address
First Line : 7727 LAKE UNDERHILL RD
Second Line :
City : ORLANDO
State : FL
Zip : 32822-8224
Country : US
Telephone Number : 407-303-6800
Fax Number : 407-303-6807
Authorized Official
Title or Position : PRESIDENT
Name : ROBERT JAMES SOLLACCIO
Credential : M.D.
Telephone Number : 407-872-7786
Provider Enumeration Date : 10/15/2007
Last Update Date : 08/09/2012

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Directions to “FLORIDA ONCOLOGY NETWORK PA ” Practice Location

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