Organization
PROSTATE CANCER INSTITUTE OF FLORIDA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AJAY BHATNAGAR MD (OWNER)
(520) 360-2895
Entity
Organization
Contact information
Practice address
621 LUMSDEN PROFESSIONAL CT, BRANDON, FL 33511-5996
(480) 360-4009
(480) 360-4124
Mailing address
PO BOX 15088, PHOENIX, AZ 85060-5088
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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