Organization
ADVANCED RADIATION ONCOLOGY P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID M HEROLD M.D. (PRESIDENT)
(561) 744-4400
Entity
Organization
Contact information
Practice address
1240 S OLD DIXIE HWY, JUPITER, FL 33458-7205
(561) 744-4400
(561) 744-7408
Mailing address
PO BOX 2760, JUPITER, FL 33468-2760
(561) 744-4400
(561) 744-7408
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271569400
—
FL
01
—
74711
BCBS
FL
Enumeration date
07/11/2006
Last updated
12/17/2009
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