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Organization

21ST CENTURY ONCOLOGY LLC

Active
Parent organization
RADIATION THERAPY SERVICES INC
Other names
Southwest Florida Urologic Associates
Organization subpart
Yes

Provider details

NPI number
Legal business name
RADIATION THERAPY SERVICES INC
Authorized official
KIM COMMINS (CEO)
(239) 931-7275
Entity
Organization

Contact information

Practice address
507 DEL PRADO BLVD S, CAPE CORAL, FL 33990-2618
(239) 772-0500
(239) 772-3076
Mailing address
2234 COLONIAL BLVD, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
060239640
FL
05
060239641
FL
05
060239642
FL
05
060239643
FL
Enumeration date
06/21/2006
Last updated
07/15/2019
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