{"npi":"1790728947","type":"NPI-2","status":"active","name":{"display":"Cancer Care Of North Florida PA","other":[],"organization_name":"CANCER CARE OF NORTH FLORIDA PA","authorised_official":"Waseem Khan"},"specialty":{"primary_taxonomy":"207RX0202X","primary_taxonomy_description":"Medical Oncology Physician","slug":"medical-oncology-physician","schema_org_specialty":null,"all":[{"code":"207RX0202X","description":"Medical Oncology Physician","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"289 SW STONEGATE TER","city":"LAKE CITY","state":"FL","postal_code":"320243457","country_code":"US","street_2":"SUITE 103","phone":"3867551655","fax":"3867552330"},{"purpose":"MAILING","street_1":"PO BOX 1642","city":"LAKE CITY","state":"FL","postal_code":"320561642","country_code":"US","phone":"3867551655","fax":"3867552330"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"DE8930","state":"FL","issuer":"RR MCR"},{"type_code":"05","label":"Medicaid","value":"276120300","state":"FL","issuer":null},{"type_code":"01","label":"Other","value":"39239","state":"FL","issuer":"BCBS"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-06-14","last_updated":"2024-12-30","_meta":{"source":"NPPES","snapshot_date":"2024-12-30","doc_url":"https://findmynpi.com/api"}}