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Organization

SOUTHEAST CANCER CARE NETWORK LLC

Active
Other names
North Florida Cancer Care
Organization subpart
No

Provider details

NPI number
Authorized official
SISSY CAUGHRAN (MGR)
(850) 526-2104
Entity
Organization

Contact information

Practice address
3031 CARTERS MILL RD, MARIANNA, FL 32446-1902
(850) 526-2101
(850) 482-2445
Mailing address
PO BOX 11407, DEPT. 2132, BIRMINGHAM, AL 35246-2132
(850) 526-2101
(850) 482-2445

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DF7476
RAILROAD MEDICARE
Enumeration date
01/29/2007
Last updated
07/26/2012
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