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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