Provider Type Icon

OCALA ONCOLOGY CENTER PL NPI 1487052171


NPI Information

NPI: 1487052171
Provider Name: OCALA ONCOLOGY CENTER PL

Doing Business As: FLORIDA CANCER AFFILIATES-NORTH FLORIDA

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

CLIA Number: 10D1031531

Address:
2100 STATE AVE
PANAMA CITY, FL
ZIP 32405
Phone: (850) 763-0036
Get Directions

OCALA ONCOLOGY CENTER PL is a hematology and oncology internal medicine in Panama City, FL. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. OCALA ONCOLOGY CENTER PL NPI is 1487052171. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Florida Cancer Affiliates-north Florida.

The provider's business location address is:

2100 STATE AVE
PANAMA CITY, FL
ZIP 32405-587
Phone: (850) 763-0036
Fax: (850) 763-0259

The provider's authorized official is Andrew M. Weber .
The authorized official title is Pharmacy Director and has the following contact phone number (850) 763-0036.

The CLIA number assigned to this NPI record is 10D1031531 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 12/11/2014 and was last updated on 8/27/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0001XRadiologyRadiation OncologyNo
2332900000XNon-Pharmacy Dispensing SiteNo
3207RH0003XInternal MedicineHematology & OncologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1265199819MEDICAIDFLORIDA
2265199800MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.