Organization
KIGGUNDU RADIATION THERAPY, PA
Active
Other names
21st Century Oncology
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD KIGGUNDU MD (PRESIDENT)
(239) 931-7342
Entity
Organization
Contact information
Practice address
801 MIDDLEFORD RD, SEAFORD, DE 19973-3636
(302) 629-6611
(302) 628-3972
Mailing address
2160 COLONIAL BLVD, FORT MYERS, FL 33907-1410
(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
—
0000987802
—
DE
05
—
200106301
—
MD
05
—
200106302
—
MD
Enumeration date
01/20/2006
Last updated
07/12/2019
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