Provider Demographics
NPI:1588808422
Name:FLORIDA CANCER INSTITUTE-NEW HOPE
Entity Type:Organization
Organization Name:FLORIDA CANCER INSTITUTE-NEW HOPE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:R
Authorized Official - Last Name:CARADONNA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-596-1926
Mailing Address - Street 1:17757 US HIGHWAY 19 N
Mailing Address - Street 2:SUITE 400
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33764-6560
Mailing Address - Country:US
Mailing Address - Phone:727-450-2232
Mailing Address - Fax:727-450-2235
Practice Address - Street 1:38010 MEDICAL CENTER AVE
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33540-1383
Practice Address - Country:US
Practice Address - Phone:813-783-1676
Practice Address - Fax:813-783-1929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-22
Last Update Date:2009-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2660377-00Medicaid
FL2660377-00Medicaid