Organization
INNOVATIVE CANCER INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEATRIZ E AMENDOLA M.D. (RADIATION ONCOLOGIST)
(305) 669-6833
Entity
Organization
Contact information
Practice address
6141 SUNSET DR, SUITE#102, SOUTH MIAMI, FL 33143-5028
(305) 669-6833
Mailing address
PO BOX 431149, SOUTH MIAMI, FL 33243-1149
(305) 669-6833
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME58411
FL
Other
Enumeration date
01/29/2008
Last updated
02/25/2014
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