Organization
BERLIN RADIATION THREAPY TREATMENT CENTER, LLC
Active
Other names
21st Century Oncology
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL E. DOSORETZ MD (PRESIDENT)
(239) 931-7275
Entity
Organization
Contact information
Practice address
314 FRANKLIN AVE, BERLIN, MD 21811-1215
(410) 641-0277
(410) 641-9581
Mailing address
2234 COLONIAL BLVD, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000035979
—
DE
Enumeration date
01/20/2006
Last updated
09/15/2007
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