Organization
21ST CENTURY ONCOLOGY LLC
Active
Parent organization
21ST CENTURY ONCOLOGY INC
Other names
Adult Urology Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
21ST CENTURY ONCOLOGY INC
Authorized official
KIM COMMINS (CEO)
(239) 931-7277
Entity
Organization
Contact information
Practice address
1002 S OLD DIXIE HWY, SUITE 104, JUPITER, FL 33458-7202
(561) 747-5885
(561) 743-5456
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
Enumeration date
09/22/2015
Last updated
07/12/2019
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