# 21ST CENTURY ONCOLOGY LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** 21ST CENTURY ONCOLOGY INC
- **Other names:** South Florida Medicine Pathology
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1932578879
- **Legal business name:** 21ST CENTURY ONCOLOGY INC
- **Authorized official:** KIM COMMINS (CEO)
- **Authorized official phone:** (239) 931-7277

## Contact information

- **Practice address:** 1601 CLINT MOORE RD, SUITE 180, BOCA RATON, FL 33487-2768
- **Practice address phone:** (561) 939-0600
- **Practice address fax:** (561) 939-0624
- **Mailing address:** 2234 COLONIAL BLVD, FORT MYERS, FL 33907-1412
- **Mailing address phone:** (239) 931-7342
- **Mailing address fax:** (239) 931-7385

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/22/2015
- **Last updated:** 07/12/2019