Organization
RADM CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAIME LOZANO M.D. (PRESIDENT/MEDICAL DIRECTOR)
(305) 336-9152
Entity
Organization
Contact information
Practice address
1100 NW 95TH ST, CANCER CENTER, MIAMI, FL 33150-2038
(305) 835-6173
Mailing address
78 SW 13TH AVE, SUITE 100, MIAMI, FL 33135-2483
(305) 649-2104
(305) 649-2764
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277842400
—
FL
Enumeration date
06/17/2006
Last updated
04/01/2011
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