Organization
WINTER PARK CANCER CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICKI MCKNIGHT CHC (COMPLIANCE DIRECTOR)
(949) 385-5012
Entity
Organization
Contact information
Practice address
1561 W FAIRBANKS AVE, SUITE 100, WINTER PARK, FL 32789-4678
(407) 478-4920
Mailing address
1561 W FAIRBANKS AVE, SUITE 100, WINTER PARK, FL 32789-4678
(407) 478-4920
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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