Organization · NPI-2
21st Century Oncology LLC
Urology · Fort Myers, FL
NPI number1275917304
StatusActive
Last updated in NPPESJul 15, 2019
Details
- NPI
- 1275917304
- Entity type
- Organization (NPI-2)
- Legal business name
- 21st Century Oncology LLC
- Organization subpart
- Yes
- Enumeration date
- Jul 18, 2015
- Last updated
- Jul 15, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | – | – | Yes |
Other names
- Gulfshore Urology (Doing Business As)
Practice location
4571 Colonial BlvdFort Myers, FL 33966-1156
Phone 239-322-5600 · Fax 239-322-5610
Mailing address
2234 Colonial BlvdFort Myers, FL 33907-1412
Phone 239-931-7342 · Fax 239-931-7385
Authorized official
Kim Commins
Ceo
2399317277
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