Organization · NPI-2

21st Century Oncology LLC

Urology · Sarasota, FL

NPI number1689811697
StatusActive
Last updated in NPPESJul 12, 2019

Details

NPI
1689811697
Entity type
Organization (NPI-2)
Legal business name
21st Century Oncology LLC
Organization subpart
Yes
Enumeration date
Jan 13, 2009
Last updated
Jul 12, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208800000X Urology––Yes

Other names

  • Gulf Gate Urology (Doing Business As)

Practice location

2401 University Pkwy
Suite 104
Sarasota, FL 34243-2893

Phone 941-358-6777 · Fax 941-358-9814

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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