Organization
21ST CENTURY ONCOLOGY LLC
Active
Parent organization
RADIATION THERAPY SERVICES INC
Other names
Jeffrey W Lewis MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
RADIATION THERAPY SERVICES INC
Authorized official
KIM COMMINS (CEO)
(239) 931-7277
Entity
Organization
Contact information
Practice address
16400 HEALTHPARK COMMONS DR, FORT MYERS, FL 33908-9621
(239) 278-5200
(239) 278-4243
Mailing address
2234 COLONIAL BLVD, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CE7138
RAILROAD MEDICARE
FL
Enumeration date
11/06/2012
Last updated
07/12/2019
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