21ST CENTURY ONCOLOGY LLC (NPI# 1770792947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770792947 |
| Entity Type | Organization |
| Organization Name | 21ST CENTURY ONCOLOGY LLC |
| Other Organization Name | FLORIDA UROLOGY PHYSICIANS |
| Practice Address |
100 Madrid Blvd Unit 112 Punta Gorda FL 33950-7968 |
| Mailing Address |
Po Box 862152 Orlando FL 32886-2152 |
| Practice Telephone | 9418830700 |
| Practice Fax Number | 2397905471 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2019-07-12 |
| Authorized Official Name | KIM COMMINS (CEO) |
| Authorized Official Telephone | 2399317275 |
| Is Organization Subpart | Y |
| Parent Organization Name | RADIATION THERAPY SERVICES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Florida Urology Physicians | 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 |
100 MADRID BLVD UNIT 112 |
| City | PUNTA GORDA |
| State | FL |
| Zip Code | 33950-7968 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225020969 | Marilyn Kay Larkin | Audiologist | 100 Madrid Blvd, Ste 315, Punta Gorda, FL 33950-7968 | 2005-08-18 |
| 1164739421 | Burnt Store Family Medicine P L | Family Medicine | 100 Madrid Blvd, Suite 513, Punta Gorda, FL 33950-7968 | 2010-09-08 |
| 1699929950 | Jeremy Kyle Martin | Dentist | 100 Madrid Blvd, Ste 414, Punta Gorda, FL 33950-7968 | 2008-11-12 |
| 1700079589 | Thomas Noone Md Pa | Family Medicine | 100 Madrid Blvd, Suite 113, Punta Gorda, FL 33950-7968 | 2007-08-24 |
| 1447461819 | Therapeutic Wellness Center | Massage Therapist | 100 Madrid Blvd, Suite 411, Punta Gorda, FL 33950-7968 | 2007-05-25 |
| 1427263334 | Harbor Audiology, P.a. | Hearing Aid Equipment | 100 Madrid Blvd, Suite 214, Punta Gorda, FL 33950 | 2007-05-14 |
| 1871516849 | Edward S Bender Dc,pa | Chiropractor | 100 Madrid Blvd, Suite 311, Punta Gorda, FL 33950-7968 | 2006-07-25 |
| 1073531992 | Ricardo Arthur Gauthier | Audiologist | 100 Madrid Blvd, Suite 214, Punta Gorda, FL 33950 | 2006-07-18 |
| 1447297031 | Edward Swanton Bender | Chiropractor | 100 Madrid Blvd, Suite 311, Punta Gorda, FL 33950-7968 | 2006-06-01 |
| 1356335483 | Thomas W Noone | Family Medicine | 100 Madrid Blvd, 113, Punta Gorda, FL 33950-7968 | 2005-09-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295291979 | Kristin Wilson | Nurse Practitioner | 350 E Olympia Ave, Suite 111, Punta Gorda, FL 33950 | 2019-02-18 |
| 1750856993 | Medical Risk Solutions | Family Medicine | 514 East Grace Street, Punta Gorda, FL 33950 | 2018-10-03 |
| 1457858607 | Janet Miller Dawson | Nurse Practitioner | Charlotte Behavioral Health Care, 1700 Education Avenue, Punta Gorda, FL 33950 | 2018-04-12 |
| 1730689290 | Suncoast Neuropsychiatric Wellness Center LLC | Psychiatry & Neurology | 25097 E Olympia Ave, #200, Punta Gorda, FL 33950 | 2018-02-20 |
| 1306351424 | Laura Cara Carlisle | Developmental Therapist | 2440 W Marion Ave, Punta Gorda, FL 33950 | 2017-12-12 |
| 1629591722 | Rachel Guyton Irias | Behavior Technician | 321 W Grace St, Punta Gorda, FL 33950 | 2017-07-20 |
| 1730636713 | William Bartley Hoke | Specialist/Technologist | 733 E.oympia Ave, Punta Gorda, FL 33950 | 2016-09-07 |
| 1861868770 | Jason Burns | Physical Therapist | 3857 Acline Rd Unit 107, Punta Gorda, FL 33950 | 2015-08-14 |
| 1073935409 | Heather Lynn Darmetko | Nurse Practitioner | 713 E. Marion Ave. 1211 Suite 1211, Punta Gorda, FL 33950 | 2014-01-21 |
| 1568706380 | Steven Michael Byrne | Nurse Practitioner | 2310 Tamiami Trail, Suite 2101, Punta Gorda, FL 33950 | 2012-11-16 |
| Find all providers in zip 33950 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316508443 | Carmen Villas | Durable Medical Equipment & Medical Supplies | 269 Maraca St, Punta Gorda, FL 33983-5543 | 2019-06-28 |
| 1710426705 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 3941 Tamiami Trl Unit 3145, Punta Gorda, FL 33950-7927 | 2017-02-23 |
| 1306909726 | Rubin Optical, Inc. | Durable Medical Equipment & Medical Supplies | 615 Cross St Unit 1109, Punta Gorda, FL 33950-5551 | 2006-12-18 |
| 1255435236 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 2400 Tamiami Trl, Punta Gorda, FL 33950-5928 | 2006-09-12 |
| 1205857679 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 27680 Bermont Rd, Punta Gorda, FL 33982 | 2006-07-21 |
| 1326065533 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 5001 Taylor Rd, Punta Gorda, FL 33950-4722 | 2006-07-16 |
| 1457903395 | Advanced Medical Supplies & Services | Durable Medical Equipment & Medical Supplies | 269 Maraca St, Punta Gorda, FL 33983-5543 | 2019-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225047 | Halo Florida Dme LLC | Durable Medical Equipment & Medical Supplies | 710 Pondella Rd Ste 4, North Fort Myers, FL 33903-5730 | 2020-11-05 |
| 1033710249 | Harmony Home Care Solutions LLC | Durable Medical Equipment & Medical Supplies | 6625 Miami Lakes Dr E Ste 319, Miami Lakes, FL 33014-2705 | 2020-11-04 |
| 1972104305 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 8684 Beulah Rd, Pensacola, FL 32526-5201 | 2020-11-03 |
| 1548861990 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 2135 Everglades Ln, The Villages, FL 32163-1037 | 2020-11-03 |
| 1588265961 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 555 Channelside Dr, Tampa, FL 33062 | 2020-11-03 |
| 1659972016 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 5140 County Line Rd, Lakeland, FL 33811-1706 | 2020-11-03 |
| 1891396248 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 205 Rivertown Shops Dr, Saint Johns, FL 32259-7476 | 2020-11-03 |
| 1326649781 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 930 North Miami Beach Blvd, North Miami Beach, FL 33162 | 2020-11-03 |
| 1265033591 | Acqualina Health Medical Solutions, Inc. | Durable Medical Equipment & Medical Supplies | 12955 Biscayne Blvd Ste 322, North Miami, FL 33181-2022 | 2020-11-03 |
| 1083215511 | Supplies Plus Fl Inc | Durable Medical Equipment & Medical Supplies | 223 Island Way Apt 5f, Clearwater Beach, FL 33767-2254 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
| City | PUNTA GORDA |
| Zip Code | 33950 |
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| 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.