Organization
SOUTH COUNTY RADIATION THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM COMMINS (CEO)
(239) 931-7275
Entity
Organization
Contact information
Practice address
142 KENYON AVE, WAKEFIELD, RI 02879-4216
(401) 284-0850
(401) 284-0860
Mailing address
2234 COLONIAL BLVD, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9004398
—
RI
Enumeration date
01/20/2006
Last updated
07/12/2019
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