21St Century Oncology Of Jacksonville Llc
LBN: 21St Century Oncology Of Jacksonville Llc
21St Century Oncology Of Jacksonville Llc is an health care organization with primary practice located at 1235 San Marco Blvd Suite 3, Jacksonville FL 32207-8554. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is the primary health care specialty.
21St Century Oncology Of Jacksonville Llc can be contacted via phone (904) 493-5100, or through Dosoretz, Daniel E. via phone (239) 931-7275.
Contact Information
Primary practice address
1235 San Marco Blvd Suite 3
Jacksonville FL 32207-8554
Phone: (904) 493-5100
Fax: (904) 493-5130
Website:
Authorized official contact:
Name: Dosoretz, Daniel E. Doctor of Medicine (MD)
Phone: (239) 931-7275
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | ||
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X |
Profile Details
| NPI number | 1215101902 |
|---|---|
| LBN Legal business name | 21St Century Oncology Of Jacksonville Llc |
| DBA Doing business as | |
| Authorized official | Dosoretz, Daniel E. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Apr 15th, 2008 |
| Last updated | Jan 5th, 2011 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215101902 | NPPES |
| Florida | MEDICAID | 281173104 | |
| Florida | MEDICAID | 281173100 | |
| Florida | MEDICAID | 281173101 | |
| Florida | MEDICAID | 281173102 | |
| Florida | MEDICAID | 281173103 |
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