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21st Century Oncology LLC

Surgery in Fort Myers, FL. Organization (NPI-2).

NPI number1295089720
StatusActive
Last updated in NPPESJul 12, 2019

Details

NPI
1295089720
Entity type
Organization (NPI-2)
Legal business name
21st Century Oncology LLC
Organization subpart
Yes
Enumeration date
Nov 6, 2012
Last updated
Jul 12, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X Surgery––Yes

Other names

  • Jeffrey W Lewis MD (Other Name)

Practice location

16400 Healthpark Commons Dr
Fort Myers, FL 33908-9621

Phone 239-278-5200 · Fax 239-278-4243

Mailing address

2234 Colonial Blvd
Fort Myers, FL 33907-1412

Phone 239-931-7342 · Fax 239-931-7385

Authorized official

Kim Commins
Ceo
2399317277

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