Organization
GOLD COAST CANCER CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAVI PATEL (MANAGING DIRECTOR)
(561) 795-9845
Entity
Organization
Contact information
Practice address
345 JUPITER LAKES BLVD, JUPITER, FL 33458-7100
(561) 296-9147
(561) 296-9148
Mailing address
3343 STATE ROAD 7, WELLINGTON, FL 33449-8002
(561) 795-9845
(561) 795-8791
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
05/21/2010
Last updated
05/21/2010
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