Organization · NPI-2

21st Century Oncology LLC

Urology · Bradenton, FL

NPI number1013291913
StatusActive
Last updated in NPPESJul 12, 2019

Details

NPI
1013291913
Entity type
Organization (NPI-2)
Legal business name
21st Century Oncology LLC
Organization subpart
Yes
Enumeration date
Oct 11, 2011
Last updated
Jul 12, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208800000X Urology––Yes

Other names

  • Eric E. Coronato DO (Doing Business As)

Practice location

1410 59th St W
Bradenton, FL 34209-4607

Phone 941-792-1477 · Fax 941-794-8017

Mailing address

2234 Colonial Blvd
Fort Myers, FL 33907-1412

Phone 239-931-7342 · Fax 239-931-7385

Authorized official

Kim Commins
Ceo
2399317277

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