CENTRAL FLORIDA CANCER INSTITUTE PA
Ambulatory Health at Celebration Blvd, Kissimmee, FL

License number
Florida ME51222
Category
Ambulatory Health
Type
Multi-Specialty
Owner
Name: DR. RANDY V HEYSEK M.D.
Title: CEO/PRESIDENT
Phone: (863) 284-6950
Address
Address
1420 Celebration Blvd SUITE 308, Kissimmee, FL 34747
National Provider ID: 1306870092
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Central Florida Cancer Institute Foundation, Inc

Davenport, FL  -  Kissimmee, FL

Status:
Inactive
Industry:
Medical Doctor's Office, Business Services at Non-Commercial Site
Doing business as:
Central Florida Cancer Inst<br>Central Florida Cancer Institute, PA
Registration:
Aug 31, 2001
Phone:
(863) 419-0692 (Phone)
Addresses:
2243 N Blvd W, Davenport, FL 33837
40107 Hwy 27, Davenport, FL 33837
1420 Celebration Blvd, Kissimmee, FL 34747
State ID:
N01000006308
Business type:
Domestic Non Profit Corporation
Treasurer, Secretary, Directors:
Sandra Sha (Director, Vice President),Susan Ross (Vice President),Randy V. Heysek President, Director, Chief Executive Officer, Principal, inactive,...

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