Organization · NPI-2

A. Dosoretz, MD Prof. Corp.

Internal Medicine, Hematology & Oncology · Fort Myers, FL

NPI number1295094332
StatusActive
Last updated in NPPESMar 1, 2019

Details

NPI
1295094332
Entity type
Organization (NPI-2)
Legal business name
A. Dosoretz, MD Prof. Corp.
Organization subpart
No
Enumeration date
May 10, 2012
Last updated
Mar 1, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RH0003X Internal Medicine, Hematology & Oncology––Yes

Other names

  • 21st Century Oncology (Doing Business As)

Practice location

2160 Colonial Blvd
Fort Myers, FL 33907-1410

Phone 239-931-7342 · Fax 239-931-7385

Mailing address

2160 Colonial Blvd
Fort Myers, FL 33907-1410

Phone 239-931-7342 · Fax 239-931-7385

Authorized official

Arie P. Dosoretz
President/Ceo
2399317277

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