Organization
JACKSONVILLE RADIATION THERAPY SERVICES LLC
Active
Parent organization
RADIATION THERAPY SERVICES INC
Other names
21st Century Cancer Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
RADIATION THERAPY SERVICES INC
Authorized official
DANIEL E. DOSORETZ MD (PRESIDENT/CEO)
(239) 931-7275
Entity
Organization
Contact information
Practice address
7751 BAYMEADOWS ROAD E, JACKSONVILLE, FL 32256
(904) 645-5045
(904) 645-5856
Mailing address
2234 COLONIAL BLVD, FORT MYERS, FL 33907-1412
(239) 931-7212
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN8404
RAILROAD MEDICARE
FL
Enumeration date
04/16/2008
Last updated
12/13/2012
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