# PROTON INTERNATIONAL - DELRAY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073019352
- **Authorized official:** MR. CHARLES YOO (BOARD MEMBER)
- **Authorized official phone:** (630) 649-4060

## Contact information

- **Practice address:** 5280 LINTON BLVD, DELRAY BEACH, FL 33484-6516
- **Practice address phone:** (561) 323-6498
- **Practice address fax:** (561) 323-6502
- **Mailing address:** 922 HAWKHORN CT, ALPHARETTA, GA 30005-4358
- **Mailing address phone:** (630) 649-4060
- **Mailing address fax:** (312) 896-9537

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0001X | Radiation Oncology Physician | — | NULL | — |
| 2085R0001X | Radiation Oncology Physician | — | — | — |
| 2471R0002X | Radiation Therapy Radiologic Technologist | — | NULL | — |
| 2471R0002X | Radiation Therapy Radiologic Technologist | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QX0203X | Radiation Oncology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/04/2018
- **Last updated:** 12/21/2021
