Organization · NPI-2
21st Century Oncology LLC
Urology · Fort Myers, FL
NPI number1205985264
StatusActive
Last updated in NPPESJul 15, 2019
Details
- NPI
- 1205985264
- Entity type
- Organization (NPI-2)
- Legal business name
- 21st Century Oncology LLC
- Organization subpart
- Yes
- Enumeration date
- Jan 9, 2007
- Last updated
- Jul 15, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | – | – | Yes |
Other names
- Florida Specialists In Urology (Doing Business As)
Practice location
7335 Gladiolus DrFort Myers, FL 33908-5122
Phone 239-689-6677 · Fax 239-939-5809
Mailing address
2234 Colonial BlvdFort Myers, FL 33907-1412
Phone 239-931-7342 · Fax 239-931-7385
Authorized official
Kim Commins
Ceo
2399317275
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