| Florida Cancer Affiliates Ocala, Tampa Bay, North Florida | |
|
3130 Sw 32nd Ave Ocala FL 34474-4445 | |
| (352) 732-4032 | |
| (352) 732-4191 |
| Full Name | Florida Cancer Affiliates Ocala, Tampa Bay, North Florida |
|---|---|
| Speciality | Internal Medicine |
| Location | 3130 Sw 32nd Ave, Ocala, Florida |
| Authorized Official Name and Position | Rama Balaraman (PRACTICE PRESIDENT) |
| Authorized Official Contact | 3527324032 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Cancer Affiliates Ocala, Tampa Bay, North Florida 6350 Center Dr Ste 200 Norfolk VA 23502-4107 Ph: (757) 213-5700 | Florida Cancer Affiliates Ocala, Tampa Bay, North Florida 3130 Sw 32nd Ave Ocala FL 34474-4445 Ph: (352) 732-4032 |
| NPI Number | 1356300958 |
|---|---|
| Provider Enumeration Date | 03/22/2006 |
| Last Update Date | 05/09/2024 |
| Certification Date | 05/09/2024 |
| Medicare PECOS PAC ID | 6901950856 |
|---|---|
| Medicare Enrollment ID | O20090812000516 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356300958 | NPI | - | NPPES |
| 265199819 | Medicaid | FL | |
| 265199800 | Medicaid | FL | |
| 265199802 | Medicaid | FL | |
| 34283 | Other | FL | BLUESHIELD GROUP NUMBER |
| DP5758 | Other | FL | RAILROAD GROUP NUMBER |
| 265199820 | Medicaid | FL |
| Provider Name | Rama Balaraman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396709424 PECOS PAC ID: 8921901174 Enrollment ID: I20040127000974 |
| Provider Name | Martin T Potrawski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740208412 PECOS PAC ID: 0648267500 Enrollment ID: I20040430000697 |
| Provider Name | Samuel E Myrick |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1831180546 PECOS PAC ID: 0941258313 Enrollment ID: I20050112000448 |
| Provider Name | Anju Vasudevan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1043203888 PECOS PAC ID: 8628972304 Enrollment ID: I20050924000015 |
| Provider Name | Steven H Stokes |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1780752881 PECOS PAC ID: 3476543554 Enrollment ID: I20051130000157 |
| Provider Name | Maury B Berger |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1457310054 PECOS PAC ID: 7719995232 Enrollment ID: I20060324000548 |
| Provider Name | Ketan D Doshi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1750573069 PECOS PAC ID: 0840268363 Enrollment ID: I20080616000713 |
| Provider Name | Lisa M Neuenfeldt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619290673 PECOS PAC ID: 7911184411 Enrollment ID: I20110609000790 |
| Provider Name | Michel Velez |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1518132570 PECOS PAC ID: 0345464582 Enrollment ID: I20140610001230 |
| Provider Name | Brian C Center |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1790908796 PECOS PAC ID: 5597821934 Enrollment ID: I20180122001416 |
| Provider Name | Tracy Lee Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659854958 PECOS PAC ID: 0446597397 Enrollment ID: I20190130001668 |
| Provider Name | Lilia J Aguila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326698424 PECOS PAC ID: 2466783394 Enrollment ID: I20191008001619 |
| Provider Name | Christopher E Haberman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1750590931 PECOS PAC ID: 0547340515 Enrollment ID: I20200313001848 |
| Provider Name | Michael Reddy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104477306 PECOS PAC ID: 1456766450 Enrollment ID: I20210225002457 |
| Provider Name | Dally Go Legaspi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942849955 PECOS PAC ID: 7113334137 Enrollment ID: I20210318001133 |
| Provider Name | Brandi Lee Bowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164092755 PECOS PAC ID: 7517369762 Enrollment ID: I20210709001361 |
| Provider Name | Nicole Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811580913 PECOS PAC ID: 7618374620 Enrollment ID: I20210917001188 |
| Provider Name | Katelyn Tello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174294698 PECOS PAC ID: 3678962743 Enrollment ID: I20211110002379 |
| Provider Name | Hannah Fordred |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730558172 PECOS PAC ID: 2567771975 Enrollment ID: I20220308000198 |
| Provider Name | Bruce Porterfield |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1962451377 PECOS PAC ID: 7416906219 Enrollment ID: I20240229003096 |
| Provider Name | Janet Cooper |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1982761912 PECOS PAC ID: 4183632300 Enrollment ID: I20240326002652 |
| Provider Name | Judeen Dian Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639651326 PECOS PAC ID: 8426581927 Enrollment ID: I20241022004971 |
| Provider Name | Regina Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144023797 PECOS PAC ID: 3173049293 Enrollment ID: I20250501000102 |
| Provider Name | Jessie Lee Wiggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194678169 PECOS PAC ID: 0840773958 Enrollment ID: I20260317000499 |
Siva MD PA Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2845 Se 3rd Ct, Ocala, FL 34471 Phone: 352-369-5300 Fax: 352-369-5309 |
Central Florida Heart Group P.A. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6600 Sw Hwy 200, Suite 300, Ocala, FL 34476 Phone: 352-237-4116 Fax: 352-237-1785 |
Munroe Professional Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1511 Sw 1st Ave, Ocala, FL 34471 Phone: 352-867-8311 Fax: 352-867-1053 |
Integrative Health Care and Physical Medicine Ocala LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3256 S Pine Ave Ste 301, Ocala, FL 34471 Phone: 352-369-6325 Fax: 352-369-6329 |
Poonam Warman M D P a Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1500 Se Magnolia Ext Ste 202, Ocala, FL 34471 Phone: 352-369-6139 |
Marion Internal Medicine Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1805 Se Lake Weir Ave, Ocala, FL 34471 Phone: 352-629-9634 Fax: 352-629-6350 |