Organization
WINTER PARK CANCER CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICKI MCKNIGHT CHC (COMPLIANCE DIRECTOR)
(949) 385-5015
Entity
Organization
Contact information
Practice address
1561 W FAIRBANKS AVE, SUITE 100, WINTER PARK, FL 32789-4678
(407) 478-4920
Mailing address
2865 E COAST HWY, SUITE 200, CORONA DEL MAR, CA 92625-2236
(949) 207-3300
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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