Organization
INNOVATIVE CANCER INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE MILAN (OFFICE MANAGER)
(305) 669-6833
Entity
Organization
Contact information
Practice address
96 W 21ST ST, HIALEAH, FL 33010-2614
(305) 669-6833
(305) 666-4030
Mailing address
5995 SW 71ST ST STE 1-B, SOUTH MIAMI, FL 33143-3531
(305) 669-6833
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
12/02/2021
Last updated
12/02/2021
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