Organization · NPI-2

21st Century Oncology LLC

Surgery · Lake Worth, FL

NPI number1891164208
StatusActive
Last updated in NPPESJul 15, 2019

Details

NPI
1891164208
Entity type
Organization (NPI-2)
Legal business name
21st Century Oncology LLC
Organization subpart
Yes
Enumeration date
Sep 16, 2015
Last updated
Jul 15, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X Surgery––Yes

Other names

  • John D Corbitt Jr MD (Doing Business As)

Practice location

142 John F Kennedy Dr
Lake Worth, FL 33462-1159

Phone 561-439-1500 · Fax 561-439-9902

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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