21ST CENTURY ONCOLOGY LLC


Address: 500 N Hiatus Rd, Suite 107, Pembroke Pines, FL 33026-5213
Phone: 9543926606

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL RAILROAD MEDICARE CE7138 01

Other Provider/Organization Names

Other Name Type Code
Southeast Florida Urology Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 500 N HIATUS RD
SUITE 107
City PEMBROKE PINES
State FL
Zip Code 33026-5213

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City PEMBROKE PINES
Zip Code 33026

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Dataset Information

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.

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