# 21ST CENTURY ONCOLOGY LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** 21ST CENTURY ONCOLOGY INC
- **Other names:** Broward Urology Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1316426281
- **Legal business name:** 21ST CENTURY ONCOLOGY INC
- **Authorized official:** KIMBERY COMMINS-TZOUMAKAS (CEO)
- **Authorized official phone:** (239) 931-7277

## Contact information

- **Practice address:** 1200 E BROWARD BLVD, FORT LAUDERDALE, FL 33301-2134
- **Practice address phone:** (954) 463-6408
- **Practice address fax:** (954) 463-1858
- **Mailing address:** 2160 COLONIAL BLVD, FORT MYERS, FL 33907-1410
- **Mailing address phone:** (239) 931-7342
- **Mailing address fax:** (239) 931-7385

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 08/10/2018
- **Last updated:** 10/24/2018