# MID-FLORIDA RADIATION ONCOLOGY PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Port St. Lucie Cancer Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285784389
- **Authorized official:** DR. RONALD HARLEN WOODY III M.D., (PRESIDENT)
- **Authorized official phone:** (772) 468-3222

## Contact information

- **Practice address:** 1780 SE HILLMOOR DR, PORT ST LUCIE, FL 34952-7558
- **Practice address phone:** (772) 335-2115
- **Practice address fax:** (772) 335-4480
- **Mailing address:** 4400 COUNTRY CLUB DR, DICKINSON, TX 77539-7620
- **Mailing address phone:** (281) 337-3423
- **Mailing address fax:** (281) 337-2611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0203X | Radiation Oncology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/11/2007
- **Last updated:** 08/22/2020