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Organization

21ST CENTURY ONCOLOGY LLC

Active
Parent organization
21ST CENTURY ONCOLOGY INC
Other names
Rauch Urology
Organization subpart
Yes

Provider details

NPI number
Legal business name
21ST CENTURY ONCOLOGY INC
Authorized official
KIM COMMINS (CEO)
(239) 931-7277
Entity
Organization

Contact information

Practice address
1002 S OLD DIXIE HWY, SUITE 104, JUPITER, FL 33458-7202
(561) 747-5885
(561) 743-5456
Mailing address
2234 COLONIAL BLVD, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary

Other

Enumeration date
09/03/2015
Last updated
07/12/2019
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