| Central Florida Cancer Institute Pa | |
|
1420 Celebration Blvd Suite 308 Celebration FL 34747-5159 | |
| (407) 566-9899 | |
| (407) 566-9893 |
| Full Name | Central Florida Cancer Institute Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 1420 Celebration Blvd, Celebration, Florida |
| Authorized Official Name and Position | Randy V Heysek (CEO/PRESIDENT) |
| Authorized Official Contact | 8632846950 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Florida Cancer Institute Pa 1420 Celebration Blvd Suite 308 Celebration FL 34747-5159 Ph: (407) 566-9899 | Central Florida Cancer Institute Pa 1420 Celebration Blvd Suite 308 Celebration FL 34747-5159 Ph: (407) 566-9899 |
| NPI Number | 1306870092 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 03/21/2023 |
| Medicare PECOS PAC ID | 5193612778 |
|---|---|
| Medicare Enrollment ID | O20040228000391 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306870092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | ME51222 (Florida) | Primary |
| Provider Name | Sandra J Sha |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1396717328 PECOS PAC ID: 2163319849 Enrollment ID: I20040228000293 |
| Provider Name | David William Graham |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1699766881 PECOS PAC ID: 8527955848 Enrollment ID: I20040302000566 |
| Provider Name | Kenneth Neigut |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780735324 PECOS PAC ID: 2062489024 Enrollment ID: I20040910000731 |
| Provider Name | Bade Akintan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1831202167 PECOS PAC ID: 4981507506 Enrollment ID: I20070213000423 |
| Provider Name | Reginald A Allen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1306842240 PECOS PAC ID: 3870577802 Enrollment ID: I20071008000200 |
| Provider Name | Virginia Rosalinda Goytia |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1760663991 PECOS PAC ID: 0446314124 Enrollment ID: I20090123000458 |
| Provider Name | Aaron O Williams |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1184691016 PECOS PAC ID: 6800890393 Enrollment ID: I20090219000571 |
| Provider Name | Michael David Smith |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1902835374 PECOS PAC ID: 3971535477 Enrollment ID: I20090619000543 |
| Provider Name | Cletus Roy Georges |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1932131752 PECOS PAC ID: 5193857514 Enrollment ID: I20100721000518 |
| Provider Name | David Lustig |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1093896367 PECOS PAC ID: 3870632672 Enrollment ID: I20161130000790 |
| Provider Name | Shivam M Kharod |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1932563962 PECOS PAC ID: 3779870589 Enrollment ID: I20210628001705 |
Orlando Health Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 61 Riley Rd, Celebration, FL 34747 Phone: 407-930-6900 | |
Center For Digestive Disease & Disorder At Celebration Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Celebration Pl Ste 400, Celebration, FL 34747 Phone: 407-566-0700 Fax: 407-566-0712 | |
Central Florida Infectious Disease Specialists Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 Celebration Pl Ste A120, Celebration, FL 34747 Phone: 407-353-6262 Fax: 888-965-5109 | |
Personalized Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 602 Front St, Celebration, FL 34747 Phone: 407-566-2454 Fax: 407-566-2572 | |
Orlando Physicians Network Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 65 Riley Rd, Celebration, FL 34747 Phone: 407-635-3022 | |
Center For Living Well Celebration Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1530 Celebration Blvd, Celebration, FL 34747 Phone: 321-939-2573 Fax: 321-939-2576 | |
Proact Health Solutions Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2940 Mallory Cir, Suite 201, Celebration, FL 34747 Phone: 855-672-2929 Fax: 877-471-0406 |