MEDICARE: NORTH FLORIDA RADIATION ONCOLOGY ASSOCIATES 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
1	2085R0001X	Radiation Oncology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	40348	OTHER	FL	BCBS GROUP
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659349033
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH FLORIDA RADIATION ONCOLOGY ASSOCIATES PA

Provider Business Mailing Address
First Line	:	PO BOX 14446
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32317-4446
Country	:	US
Telephone Number	:	850-222-4858
Fax Number	:	850-222-1252

Provider Business Practice Location Address
First Line	:	1775 ONE HEALING PL
Second Line	:	TMH CANCER CENTER
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-4600
Country	:	US
Telephone Number	:	850-431-5255
Fax Number	:	850-431-6591

Authorized Official
Title or Position	:	RADIATION ONCOLOGIST/PRESIDENT
Name	:	PHILIP V SHARP
Credential	:	MD
Telephone Number	:	850-431-5255

Provider Enumeration Date	:	03/10/2006
Last Update Date	:	10/18/2011

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