Organization
ORLANDO CANCER CENTER INC
Active
Organization
ORLANDO CANCER CENTER INC
Active
Other names
MD Anderson Cancer Center Orlando
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ROH MD (PRESIDENT/CEO)
(407) 648-3800
Entity
Organization
Contact information
Practice address
1400 S ORANGE AVE, ORLANDO, FL 32806-2134
(407) 648-3800
(407) 425-5203
Mailing address
1400 S ORANGE AVE, ORLANDO, FL 32806-2134
(407) 648-3800
(407) 425-5203
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
—
—
207RX0202X
Medical Oncology Physician
Primary
—
—
207VX0201X
Gynecologic Oncology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00235
BCBS OF FLORIDA
FL
01
—
007
TRICARE
FL
05
—
051326100
—
FL
Enumeration date
05/27/2006
Last updated
10/02/2013
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