Organization
RADIATION ONCOLOGY CENTERS OF SOUTHWEST FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRI D. NGUYEN M.D. (OWNER)
(941) 749-0955
Entity
Organization
Contact information
Practice address
401 MANATEE AVE E, BRADENTON, FL 34208-1143
(941) 749-0955
(941) 748-7878
Mailing address
PO BOX 1450, NW 5469, MINNEAPOLIS, MN 55485-5469
(941) 749-0955
(941) 748-7878
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
L06000059070
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039743100
—
FL
05
—
044535500
—
FL
05
—
049060100
—
FL
05
—
058657900
—
FL
05
—
276514400
—
FL
Enumeration date
08/25/2006
Last updated
11/13/2008
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