Organization
21ST CENTURY ONCOLOGY LLC
Active
Parent organization
21ST CENTURY ONCOLOGY INC
Other names
Broward Urology Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
21ST CENTURY ONCOLOGY INC
Authorized official
KIMBERY COMMINS-TZOUMAKAS (CEO)
(239) 931-7277
Entity
Organization
Contact information
Practice address
1200 E BROWARD BLVD, FORT LAUDERDALE, FL 33301-2134
(954) 463-6408
(954) 463-1858
Mailing address
2160 COLONIAL BLVD, FORT MYERS, FL 33907-1410
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/10/2018
Last updated
10/24/2018
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