Provider Demographics
NPI:1962812917
Name:FLORIDA ONCOLOGY PARTNERS LLC
Entity Type:Organization
Organization Name:FLORIDA ONCOLOGY PARTNERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-208-8998
Mailing Address - Street 1:1100 N.W. 95 STREET
Mailing Address - Street 2:CANCER CENTER
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33150-2038
Mailing Address - Country:US
Mailing Address - Phone:305-835-6173
Mailing Address - Fax:305-694-3671
Practice Address - Street 1:1100 N.W. 95 STREET
Practice Address - Street 2:CANCER CENTER
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33150-2038
Practice Address - Country:US
Practice Address - Phone:305-835-6173
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-29
Last Update Date:2018-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty