MEDICARE: FLORIDA CANCER INSTITUTE-NEW HOPE

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
1	207RX0202X	Medical Oncology Physician
2	207RH0003X	Hematology & Oncology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	5540000007	OTHER	FL	PROVIDER TRANSACTION ACCESS NUMBER (PTAN)

General Provider Information

NPI Number	:	1649414582
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORIDA CANCER INSTITUTE-NEW HOPE

Provider Business Mailing Address
First Line	:	7324 LITTLE RD
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34654-5518
Country	:	US
Telephone Number	:	727-484-7722
Fax Number	:	727-484-7781

Provider Business Practice Location Address
First Line	:	2231 HIGHWAY 44 W
Second Line	:	UNIT 203
City	:	INVERNESS
State	:	FL
Zip	:	34453-3879
Country	:	US
Telephone Number	:	352-860-7400
Fax Number	:	352-860-7450

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RICHARD R CARADONNA
Credential	:	M.D.
Telephone Number	:	352-596-1926

Provider Enumeration Date	:	04/22/2009
Last Update Date	:	03/03/2010

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Directions to “FLORIDA CANCER INSTITUTE-NEW HOPE ” Practice Location

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