21ST CENTURY ONCOLOGY LLC (NPI# 1548538598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548538598 |
Entity Type | Organization |
Organization Name | 21ST CENTURY ONCOLOGY LLC |
Other Organization Name | SOUTHEAST FLORIDA UROLOGY |
Practice Address |
500 N Hiatus Rd Suite 107 Pembroke Pines FL 33026-5213 |
Mailing Address |
2234 Colonial Blvd Fort Myers FL 33907-1412 |
Practice Telephone | 9543926606 |
Practice Fax Number | 9543926169 |
Mailing Telephone | 2399317342 |
Mailing Fax Number | 2399317385 |
Enumeration Date | 2011-12-06 |
Last Update Date | 2019-07-12 |
Authorized Official Name | KIM COMMINS (CEO) |
Authorized Official Telephone | 2399317277 |
Is Organization Subpart | Y |
Parent Organization Name | RADIATION THERAPY SERVICES INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | RAILROAD MEDICARE | CE7138 | 01 |
Other Name | Type Code |
---|---|
Southeast Florida Urology | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740748706 | 21st Century Oncology LLC | Internal Medicine | 3651 Fau Blvd Ste 100, Boca Raton, FL 33431-6489 | 2019-03-08 |
1669701918 | 21st Century Oncology LLC | Urology | 1044 Goodlette Rd N, Naples, FL 34102-5449 | 2009-12-16 |
1790993632 | 21st Century Oncology LLC | Durable Medical Equipment & Medical Supplies | 1255 Viscaya Pkwy # 2, Suite 201, Cape Coral, FL 33990-3290 | 2007-05-21 |
1316426281 | 21st Century Oncology LLC | Durable Medical Equipment & Medical Supplies | 1200 E Broward Blvd, Fort Lauderdale, FL 33301-2134 | 2018-08-10 |
1922456722 | 21st Century Oncology LLC | Surgery | 10141 Forest Hill Blvd, Wellington, FL 33414-6103 | 2016-06-02 |
1568820363 | 21st Century Oncology LLC | Surgery | 3300 Us 27 S, Avon Park, FL 33825-9701 | 2016-02-08 |
1558729855 | 21st Century Oncology LLC | Surgery | 6405 N Federal Hwy, Suite 401, Fort Lauderdale, FL 33308-1412 | 2016-02-02 |
1730551227 | 21st Century Oncology LLC | Surgery | 1411 N Flagler Dr, Suite 7300, West Palm Beach, FL 33401-3404 | 2015-10-23 |
1679945158 | 21st Century Oncology LLC | Urology | 787 37th St, Suite E-200, Vero Beach, FL 32960-7305 | 2015-10-23 |
1871964916 | 21st Century Oncology LLC | Urology | 10115 Forest Hill Blvd, Suite 100, Wellington, FL 33414-3105 | 2015-10-15 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | 21ST CENTURY ONCOLOGY LLC | 3651 Fau Blvd Ste 100, Boca Raton, FL 33431-6489 |
Street Address |
500 N HIATUS RD SUITE 107 |
City | PEMBROKE PINES |
State | FL |
Zip Code | 33026-5213 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134120843 | Craig Steven Shapiro | Otolaryngology | 500 N Hiatus Rd, Suite 101, Pembroke Pines, FL 33026-5213 | 2005-08-03 |
1083232888 | Iliana Suarez | Dentist | 500 N Hiatus Rd, Pembroke Pines, FL 33026-5213 | 2020-07-08 |
1194204321 | Antonio Augusto Manrique | Pediatrics | 500 N Hiatus Rd, Pembroke Pines, FL 33026-5213 | 2018-08-08 |
1497122519 | Southeast Florida Urology LLC | Urology | 500 N Hiatus Rd, Suite 107, Pembroke Pines, FL 33026-5213 | 2015-08-24 |
1235479338 | Maria Alejandra Herrera Md Pa | Clinic/Center | 500 N Hiatus Rd, Suite 103, Pembroke Pines, FL 33026-5213 | 2013-02-26 |
1902117591 | Anelys Correa | Dentist | 500 N Hiatus Rd, Suite 109, Pembroke Pines, FL 33026-5213 | 2010-06-29 |
1649410606 | Clear Tone Hearing Center | Hearing Instrument Specialist | 500 N Hiatus Rd, Suite 101, Pembroke Pines, FL 33026-5213 | 2009-03-03 |
1013164060 | Laura Gonzalez D.m.d, P.a. | Dentist | 500 N Hiatus Rd, Suite 109, Pembroke Pines, FL 33026-5213 | 2008-08-21 |
1235395468 | Urology Specialty Group LLC | Urology | 500 N Hiatus Rd, Suite 107, Pembroke Pines, FL 33026-5213 | 2008-08-07 |
1225296924 | Sina Joorabchi | Otolaryngology | 500 N Hiatus Rd, Suite 101, Pembroke Pines, FL 33026-5213 | 2008-05-29 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811488398 | Nathanel A Shammay | Student in an Organized Health Care Education/Training Program | 11251 Renaissance Rd, Cooper City, FL 33026 | 2018-05-21 |
1245741313 | Isabel C Gomez | Behavior Technician | 1300 St Charles Place, Pembroke Pines, FL 33026 | 2017-10-17 |
1376052233 | Natalie Valentine | Psychologist | 11749 Nw 12th St, Pembroke Pines, FL 33026 | 2017-09-23 |
1285159178 | Belkis Perez | Optometrist | 11605 Pines Blvd., Pembroke Pines, FL 33026 | 2017-08-11 |
1447792429 | Merlin Abraham | Physical Therapy Assistant | 10794 Pines Blvd #104, Pembroke Pines, FL 33026 | 2016-11-08 |
1588024285 | Kerryrose Joyceann Gordon | Registered Nurse | 600 North Hiatus Road, Suite 102, Pembroke Pines, FL 33026 | 2016-02-24 |
1659745149 | Grand Dialysis Services LLC | Clinic/Center | 500 N. Hiatus Road, Suite 105, Pembroke Pines, FL 33026 | 2015-11-20 |
1992107999 | Therapies 4 Kids, Inc. | Clinic/Center | 1311-1321 N. Palm Avenue, Pembroke Pines, FL 33026 | 2014-09-22 |
1073940631 | Lisa Margo Guertin | Nurse Practitioner | 10836 Morningstar Drive, Hollywood, FL 33026 | 2013-09-27 |
1881930865 | Carol Elizabeth Farrell | Speech-Language Pathologist | 11704 Melaleuca Way, Cooper City, FL 33026 | 2012-12-20 |
Find all providers in zip 33026 |
Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497122519 | Southeast Florida Urology LLC | Urology | 500 N Hiatus Rd, Suite 107, Pembroke Pines, FL 33026-5213 | 2015-08-24 |
1417220054 | Genesiscare Usa of Florida LLC | Urology | 2261 N University Dr, Suite 202, Pembroke Pines, FL 33024-3623 | 2012-02-13 |
1699044289 | Genesiscare Usa of Florida LLC | Urology | 601 N Flamingo Rd, Suite 402, Pembroke Pines, FL 33028-1015 | 2011-12-28 |
1841580917 | Genesiscare Usa of Florida LLC | Urology | 700 N Hiatus Rd, Suite 101, Pembroke Pines, FL 33026-5206 | 2011-04-11 |
1235395468 | Urology Specialty Group LLC | Urology | 500 N Hiatus Rd, Suite 107, Pembroke Pines, FL 33026-5213 | 2008-08-07 |
1023213782 | Norman A Bloom Md Pa | Urology | 1 Sw 129th Ave, Suite 109, Pembroke Pines, FL 33027-1761 | 2007-06-20 |
1588775068 | South Florida Urology Center Inc | Urology | 601 N Flamingo Rd, Suite 203, Pembroke Pines, FL 33028-1015 | 2006-08-31 |
1225149891 | Maury A Jayson | Urology | 601 N Flamingo Rd, Suite 203, Pembroke Pines, FL 33028-1015 | 2006-08-31 |
1174584809 | Antonio Reyes | Urology | 600 N Hiatus Rd, Suite 209, Pembroke Pines, FL 33026-5207 | 2006-03-31 |
1447210810 | Robert H Sherman | Urology | 500 N Hiatus Rd, Ste 107, Pembroke Pines, FL 33026-5213 | 2006-03-28 |
Find all providers in PEMBROKE PINES |
City | PEMBROKE PINES |
Zip Code | 33026 |
Please comment or provide details below to improve the information on 21ST CENTURY ONCOLOGY LLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.