21st Century Oncology Of Jacksonville LLC
Internal Medicine, Medical Oncology in Jacksonville, FL. Organization (NPI-2).
NPI number1215101902
StatusActive
Last updated in NPPESJan 5, 2011
Details
- NPI
- 1215101902
- Entity type
- Organization (NPI-2)
- Legal business name
- 21st Century Oncology Of Jacksonville LLC
- Organization subpart
- Yes
- Enumeration date
- Apr 15, 2008
- Last updated
- Jan 5, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RX0202X | Internal Medicine, Medical Oncology | – | – | Yes |
| 2086X0206X | Surgery, Surgical Oncology | – | – |
Practice location
1235 San Marco BlvdSuite 3
Jacksonville, FL 32207-8554
Phone 904-493-5100 · Fax 904-493-5130
Mailing address
2234 Colonial BlvdFort Myers, FL 33907-1412
Phone 239-931-7342 · Fax 239-931-7385
Authorized official
Daniel E. Dosoretz
President/Ceo
2399317275
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