HEMATOLOGY ONCOLOGY ASSOCIATES (ROBERT BRUCE KILLEEN JR. M.D. P.A.) NPI 1730570219

Specialist in Holiday, FL

NPI 1730570219 Organization Specialist

About HEMATOLOGY ONCOLOGY ASSOCIATES (ROBERT BRUCE KILLEEN JR. M.D. P.A.)

Hematology Oncology Associates (robert Bruce Killeen Jr. M.d. P.a.) is a provider established in Holiday, Florida specializing in specialist. The NPI number of Hematology Oncology Associates (robert Bruce Killeen Jr. M.d. P.a.) is 1730570219 and was assigned on February 2015. The practitioner's primary taxonomy code is 174400000X with license number ME58217 (FL). The provider is registered as an organization and their NPI record was last updated 7 years ago. Hematology Oncology Associates (robert Bruce Killeen Jr. M.d. P.a.) operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Hematology Oncology Associates. The authorized official of this NPI record is Dr. Robert Bruce Killeen Jr. M.d. (President)

NPI

1730570219

Provider NameHEMATOLOGY ONCOLOGY ASSOCIATES (ROBERT BRUCE KILLEEN JR. M.D. P.A.)
Provider Location Address2520 US HIGHWAY 19 HOLIDAY, FL 34691
Provider Mailing Address2520 US HIGHWAY 19 HOLIDAY, FL 34691
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameHEMATOLOGY ONCOLOGY ASSOCIATES
Other Name TypeDoing Business As (3)
Enumeration Date02-05-2015
Last Update Date02-05-2015


Primary Taxonomy

Taxonomy Code174400000X
ClassificationSpecialist
TypeOther Service Providers
License No.ME58217
License StateFL
Taxonomy DescriptionAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Business Address

HEMATOLOGY ONCOLOGY ASSOCIATES
2520 US HIGHWAY 19
HOLIDAY, FL
ZIP 34691
Phone: (727) 945-0515
Fax: (727) 934-4045

Get Directions


Mailing Address

HEMATOLOGY ONCOLOGY ASSOCIATES
2520 US HIGHWAY 19
HOLIDAY, FL
ZIP 34691
Phone: (727) 945-0515
Fax: (727) 934-4045



Authorized Official

Authorized Official NameDR. ROBERT BRUCE KILLEEN JR. M.D.
Authorized Official TitlePRESIDENT
Authorized Official Phone(727) 945-0515

Group Taxonomy


193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
054208300MEDICAID (05)FL
B48244MEDICARE UPIN (02)FL

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1245222447 ROBERTA MARIE KILLEEN MD
Individual
Pathology (Anatomic Pathology)2520 US HIGHWAY 19
HOLIDAY, FL 34691
(727) 934-6905
1609039361ROBERTA M KILLEEN MD PA
Organization
Clinical Medical Laboratory2520 US HIGHWAY 19
HOLIDAY, FL 34691
(727) 939-1584

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.