Organization · NPI-2

21st Century Specialty Physicians Michael J Katin MD PC

· Henderson, NV

NPI number1124278650
StatusActive
Last updated in NPPESSep 20, 2008

Details

NPI
1124278650
Entity type
Organization (NPI-2)
Legal business name
21st Century Specialty Physicians Michael J Katin MD PC
Organization subpart
No
Enumeration date
Sep 20, 2008
Last updated
Sep 20, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0001X ––Yes
208800000X Urology––

Other names

  • 21st Century Oncology (Doing Business As)

Practice location

52 N Pecos Rd
Henderson, NV 89074-7319

Phone 702-990-4767 · Fax 702-990-4766

Mailing address

2234 Colonial Blvd
Fort Myers, FL 33907-1412

Phone 239-931-7342 · Fax 239-931-7385

Authorized official

Michael J Katin
Ceo/President
2399317277

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