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Organization
A. DOSORETZ, MD PROF. CORP.
Active
Organization
A. DOSORETZ, MD PROF. CORP.
Active
Other names
21st Century Oncology
Organization subpart
No
Provider details
NPI number
Authorized official
ARIE P. DOSORETZ MD (PRESIDENT/CEO)
(239) 931-7277
Entity
Organization
Contact information
Practice address
2160 COLONIAL BLVD, FORT MYERS, FL 33907-1410
(239) 931-7342
(239) 931-7385
Mailing address
2160 COLONIAL BLVD, FORT MYERS, FL 33907-1410
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG119
RAILROAD MEDICARE
NV
Enumeration date
05/10/2012
Last updated
03/01/2019
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