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Organization
FLORIDA RADIATION ONCOLOGY PL
Active
Organization
FLORIDA RADIATION ONCOLOGY PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLIS B NORSOPH M.D. (PRESIDENT)
(813) 899-6223
Entity
Organization
Contact information
Practice address
3100 E. FLETCHER AVE, UCH RADIATION ONCOLOGY DEPARTMENT, TAMPA, FL 33613-4688
(819) 971-6000
(813) 985-8006
Mailing address
PO BOX 20085, TAMPA, FL 33622-0085
(813) 899-6226
(813) 985-8006
Taxonomy
Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
FL
Enumeration date
06/24/2009
Last updated
06/24/2009
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