Organization
RAD ONC GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMESH KUMAR M.D. (OWNER/PHYSICIAN)
(772) 464-8862
Entity
Organization
Contact information
Practice address
5550 S US HIGHWAY 1, FORT PIERCE, FL 34982-8701
(772) 464-8862
Mailing address
PO BOX 880429, FORT PIERCE, FL 34988-0429
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277737100
—
FL
Enumeration date
10/19/2006
Last updated
12/22/2009
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