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:
Map and Directions
Authorized official contact:
Name: Dosoretz, Daniel E. Doctor of Medicine (MD)
Phone: (239) 931-7275

Health care specialties

SpecialtyCodeLicense #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 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1215101902 NPPES
Florida MEDICAID 281173104
Florida MEDICAID 281173100
Florida MEDICAID 281173101
Florida MEDICAID 281173102
Florida MEDICAID 281173103

Popular Providers