Organization · NPI-2

21st Century Oncology LLC

Urology · Margate, FL

NPI number1386013225
StatusActive
Last updated in NPPESJul 12, 2019

Details

NPI
1386013225
Entity type
Organization (NPI-2)
Legal business name
21st Century Oncology LLC
Organization subpart
Yes
Enumeration date
Sep 22, 2015
Last updated
Jul 12, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208800000X Urology––Yes

Other names

  • South Florida Urology Consultants (Doing Business As)

Practice location

5800 Colonial Dr
Suite 404
Margate, FL 33063-5682

Phone 954-979-2444 · Fax 954-979-2263

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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