| 21st Century Oncology Llc | |
|
131 E Redstone Ave Suite 102 Crestview FL 32539-5326 | |
| (850) 682-6333 | |
| (850) 682-0865 |
| Full Name | 21st Century Oncology Llc |
|---|---|
| Speciality | Urology |
| Location | 131 E Redstone Ave, Crestview, Florida |
| Authorized Official Name and Position | Dianna Harrison (SR. DIRECTOR OF PROVIDER RELATIONS) |
| Authorized Official Contact | 2399317342 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 21st Century Oncology Llc 2234 Colonial Blvd Fort Myers FL 33907-1412 Ph: (239) 931-7342 | 21st Century Oncology Llc 131 E Redstone Ave Suite 102 Crestview FL 32539-5326 Ph: (850) 682-6333 |
| NPI Number | 1346561289 |
|---|---|
| Provider Enumeration Date | 06/15/2010 |
| Last Update Date | 02/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346561289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 208800000X | Urology | (* (Not Available)) | Primary |
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