Organization
ORLANDO PHYSICIAN SPECIALISTS LLC
Active
Other names
Winter Park Cancer Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES WITTEN MD (DIRECTOR)
(321) 275-0333
Entity
Organization
Contact information
Practice address
1561 W FAIRBANKS AVE, SUITE 100, WINTER PARK, FL 32789-4678
(407) 478-4920
(407) 478-4921
Mailing address
1561 W FAIRBANKS AVE, SUITE 100, WINTER PARK, FL 32789-4678
(321) 275-0333
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0027J
BCBS
FL
05
—
004206300
—
FL
01
—
DS5207
RR MEDICARE
FL
Enumeration date
06/23/2011
Last updated
08/01/2016
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