Organization
A. DOSORETZ, MD PROF. CORP.
Active
Other names
21st Century Oncology
Organization subpart
No
Provider details
NPI number
Authorized official
ARIE P. DOSORETZ MD (PRESIDENT/CEO)
(239) 931-7277
Entity
Organization
Contact information
Practice address
2160 COLONIAL BLVD, FORT MYERS, FL 33907-1410
(239) 931-7342
(239) 931-7385
Mailing address
2160 COLONIAL BLVD, FORT MYERS, FL 33907-1410
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG119
RAILROAD MEDICARE
NV
Enumeration date
05/10/2012
Last updated
03/01/2019
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