Organization
21ST CENTURY ONCOLOGY LLC
Active
Parent organization
21ST CENTURY ONCOLOGY INC
Other names
Raymond Henderson MD
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
1411 N FLAGLER DR, SUITE 7300, WEST PALM BEACH, FL 33401-3404
(561) 804-9898
(561) 804-9049
Mailing address
2234 COLONIAL BLVD, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
10/23/2015
Last updated
07/12/2019
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