Organization
21ST CENTURY ONCOLOGY LLC
Active
Parent organization
21ST CENTURY ONCOLOGY INC
Other names
Surgical Specialists of South Florida
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
142 JOHN F KENNEDY DR, LAKE WORTH, FL 33462-1159
(561) 439-1500
(561) 439-9902
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
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CE7138
RAILROAD MEDICARE
FL
Enumeration date
09/22/2015
Last updated
07/12/2019
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