Organization
RADIATION THERAPY CENTERS OF BREVARD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES C GIEBINK MD (PHYSICIAN)
(321) 632-0351
Entity
Organization
Contact information
Practice address
1033 FLORIDA AVE S, ROCKLEDGE, FL 32955-2138
(321) 632-0351
Mailing address
1033 FLORIDA AVE S, ROCKLEDGE, FL 32955-2138
(321) 632-0351
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
38372
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
372245700
—
FL
Enumeration date
09/26/2007
Last updated
03/31/2010
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