Organization
21ST CENTURY ONCOLOGY LLC
Active
Parent organization
GENESISCARE USA INC.
Other names
Urology Treatment Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENESISCARE USA INC.
Authorized official
DAN COLLINS (PRESIDENT)
(239) 931-7275
Entity
Organization
Contact information
Practice address
3325 S TAMIAMI TRL STE 200, SARASOTA, FL 34239-5142
(941) 917-8488
(941) 917-8475
Mailing address
2160 COLONIAL BLVD, FORT MYERS, FL 33907-1410
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CE9586
RAILROAD MEDICARE
FL
Enumeration date
03/05/2007
Last updated
01/31/2025
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