Provider Demographics
NPI:1215006432
Name:CENTRAL FLORIDA HEMATOLOGY AND ONCOLOGY
Entity Type:Organization
Organization Name:CENTRAL FLORIDA HEMATOLOGY AND ONCOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SANDEEP
Authorized Official - Middle Name:KUMAR
Authorized Official - Last Name:THAPER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-787-9448
Mailing Address - Street 1:601 E DIXIE AVE STE 1001
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34748-7309
Mailing Address - Country:US
Mailing Address - Phone:352-787-9448
Mailing Address - Fax:352-787-3250
Practice Address - Street 1:601 E DIXIE AVE STE 1001
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34748-7309
Practice Address - Country:US
Practice Address - Phone:352-787-9448
Practice Address - Fax:352-787-3250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2012-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME74755207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL271037400Medicaid
FLK6702Medicare ID - Type Unspecified