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Contact Information

21ST CENTURY ONCOLOGY LLC
18308 MURDOCK CIR
UNIT 105
PORT CHARLOTTE, FL33948-1025
 Phone: 941-743-4150
 Fax: 941-743-4427
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for 21ST CENTURY ONCOLOGY LLC · (Female)

NPI Number 1417360918
Status Active
Credentials
Entity Individual
Enumeration date 06/03/2014
Last updated 07/12/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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