Organization
RADIATION ONCOLOGY SPECIALISTS OF THE PALM BEACHES, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUNDERAM K SHETTY M.D. (PRESIDENT)
(561) 714-1397
Entity
Organization
Contact information
Practice address
901 45TH ST, KAPLAN CANCER CENTER, WEST PALM BEACH, FL 33407-2413
(561) 881-2815
(561) 626-6146
Mailing address
PO BOX 31477, PALM BEACH GARDENS, FL 33420-1477
(561) 626-7223
(561) 626-6146
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269509000
—
FL
01
—
74641
BLUE CROSS/BLUE SHIELD
FL
Enumeration date
07/28/2006
Last updated
06/28/2010
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