Proton International - Delray, LLC
Clinic/Center, Oncology, Radiation in Delray Beach, FL. Organization (NPI-2).
NPI number1073019352
StatusActive
Last updated in NPPESDec 21, 2021
Details
- NPI
- 1073019352
- Entity type
- Organization (NPI-2)
- Legal business name
- Proton International - Delray, LLC
- Organization subpart
- No
- Enumeration date
- Apr 4, 2018
- Certification date
- Dec 21, 2021
- Last updated
- Dec 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QX0203X | Clinic/Center, Oncology, Radiation | – | – | Yes |
| 2085R0001X | – | – | ||
| 2471R0002X | Radiologic Technologist, Radiation Therapy | – | – | |
| 261Q00000X | Clinic/Center | – | – |
Practice location
5280 Linton BlvdDelray Beach, FL 33484-6516
Phone 561-323-6498 · Fax 561-323-6502
Mailing address
922 Hawkhorn CtAlpharetta, GA 30005-4358
Phone 630-649-4060 · Fax 312-896-9537
Authorized official
Charles Yoo
Board Member
6306494060
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