Organization
21ST CENTURY SPECIALTY PHYSICIANS MICHAEL J KATIN MD PC
Active
Other names
21st Century Oncology
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J KATIN MD (CEO/PRESIDENT)
(239) 931-7277
Entity
Organization
Contact information
Practice address
52 N PECOS RD, HENDERSON, NV 89074-7319
(702) 990-4767
(702) 990-4766
Mailing address
2234 COLONIAL BLVD, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
208800000X
Urology Physician
—
—
Other
Enumeration date
09/20/2008
Last updated
09/20/2008
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