Organization
21ST CENTURY ONCOLOGY LLC
Active
Parent organization
21ST CENTURY ONCOLOGY INC
Other names
Anthony N Avallone MD
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
914B MAR WALT DR, FORT WALTON BEACH, FL 32547-6706
(850) 226-6572
(850) 862-8564
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
01/02/2015
Last updated
07/12/2019
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