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Organization
21ST CENTURY ONCOLOGY LLC
Active
Organization
21ST CENTURY ONCOLOGY LLC
Active
Parent organization
21ST CENTURY ONCOLOGY INC
Other names
South Florida Medicine Pathology
Organization subpart
Yes
Provider details
NPI number
Legal business name
21ST CENTURY ONCOLOGY INC
Authorized official
KIM COMMINS (CEO)
(239) 931-7277
Entity
Organization
Contact information
Practice address
1601 CLINT MOORE RD, SUITE 180, BOCA RATON, FL 33487-2768
(561) 939-0600
(561) 939-0624
Mailing address
2234 COLONIAL BLVD, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
NULL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
09/22/2015
Last updated
07/12/2019
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