Organization
COMPREHENSIVE RADIATION ONCOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. W. TEDERICK JOHNSON (GROUP VP/AUTHORIZED OFFICIAL)
(615) 372-3375
Entity
Organization
Contact information
Practice address
4685 S CONGRESS AVE, PALM SPRINGS, FL 33461-4761
(561) 548-2662
(561) 548-1633
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4525
(615) 372-5426
(866) 700-8452
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
05/30/2018
Last updated
06/14/2021
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