21ST CENTURY ONCOLOGY LLC (NPI# 1801157474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801157474 |
| Entity Type | Organization |
| Organization Name | 21ST CENTURY ONCOLOGY LLC |
| Other Organization Name | UROLOGY PARTNERS |
| Practice Address |
200 3rd Ave W Suite 210 Bradenton FL 34205-8626 |
| Mailing Address |
2234 Colonial Blvd Fort Myers FL 33907-1412 |
| Practice Telephone | 9417920340 |
| Practice Fax Number | 9417475276 |
| Mailing Telephone | 2399317212 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2012-05-31 |
| Authorized Official Name | DANIEL E. DOSORETZ (PRESIDENT/CEO) |
| Authorized Official Telephone | 2399317277 |
| Authorized Official Credential | MD |
| 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 |
|---|---|
| Urology Partners | 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 |
200 3RD AVE W SUITE 210 |
| City | BRADENTON |
| State | FL |
| Zip Code | 34205-8626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518950187 | Edward Herrman | Urology | 200 3rd Ave W, Suite 210, Bradenton, FL 34205-8626 | 2005-08-29 |
| 1831557966 | David Deering | Nurse Practitioner | 200 3rd Ave W, Suite 210, Bradenton, FL 34205-8626 | 2016-02-03 |
| 1780957696 | Genesiscare Usa of Florida LLC | Urology | 200 3rd Ave W, Suite 210, Bradenton, FL 34205-8626 | 2012-02-23 |
| 1841507738 | Florida Medical Specialists LLC | Internal Medicine | 200 3rd Ave W, Suite 100, Bradenton, FL 34205-8626 | 2010-09-13 |
| 1326213091 | Janine Rae Zaccagnino | Nurse Practitioner | 200 3rd Ave W, Suite 100, Bradenton, FL 34205-8626 | 2008-04-24 |
| 1487869400 | Sean Alexander Castellucci | Urology | 200 3rd Ave W, Suite 210, Bradenton, FL 34205-8626 | 2007-05-12 |
| 1295869535 | Catherine Mcging | Nurse Practitioner | 200 3rd Ave W, Suite 210, Bradenton, FL 34205-8626 | 2007-03-16 |
| 1427135714 | Neurospinal Associates Pa | Neurological Surgery | 200 3rd Ave W, Suite 200, Bradenton, FL 34205-8626 | 2006-11-01 |
| 1669488839 | Manatee Urology Pa | Urology | 200 3rd Ave W, Suite 210, Bradenton, FL 34205 | 2006-07-31 |
| 1730104837 | Debra S Dougherty | Nurse Practitioner | 200 3rd Ave W, Suite 210, Bradenton, FL 34205-8626 | 2006-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649811506 | Fenix Drug Store, LLC | Pharmacy | 527 13th St W, Bradenton, FL 34205 | 2019-10-02 |
| 1326534702 | Elaine Benitez Vazquez | Developmental Therapist | 3800 Lake Bayshore Dr Apt 513, Bradenton, FL 34205 | 2018-07-09 |
| 1437519402 | Kenneth G Bannister | Massage Therapist | 302 26th Avenue East, Apt 101, Bradenton, FL 34205 | 2016-03-03 |
| 1780028415 | Nic 4 Summerfield Leasing LLC | Assisted Living Facility | 3409 26th St. W., Bradenton, FL 34205 | 2013-04-24 |
| 1275803017 | Jennifer Geanne Washington | Massage Therapist | 1901 9th Ave W, Bradenton, FL 34205 | 2012-01-11 |
| 1629352745 | Susan K Stone | Acupuncturist | 2620 Manatee Avenue W., Suite C, Bradenton, FL 34205 | 2011-10-07 |
| 1588957609 | Palma Sola Therapies LLC | Physical Medicine & Rehabilitation | 515 36th St., Suite D, Bradenton, FL 34205 | 2011-05-23 |
| 1023254836 | Halle Kranz | Counselor | 239 301 Blvd W, Bradenton, FL 34205 | 2008-12-29 |
| 1235389537 | Aisha Mohsin Malik | Psychiatry & Neurology | 200 3rd Avenue West, Suite 110, Bradenton, FL 34205 | 2008-09-23 |
| 1689895146 | Brenda Marie Wilson | Counselor | Manatee Service Center, 600 301 Blvd - Suite 144, Bradenton, FL 34205 | 2007-05-01 |
| Find all providers in zip 34205 | ||||
| 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. |
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|---|---|---|---|---|
| 1982220158 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 14605 Sr 70, Bradenton, FL 34202 | 2020-06-23 |
| 1861049090 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 11521 Sr 70 East, Bradenton, FL 34202 | 2019-08-22 |
| 1881157907 | Healthstar Solutions | Durable Medical Equipment & Medical Supplies | 3711 Cortez Rd W Ste 200, Bradenton, FL 34210-3150 | 2019-04-08 |
| 1003330838 | Sarasota Spine & Sport Chiropractic Clinic | Durable Medical Equipment & Medical Supplies | 4705 26th St W Ste B, Bradenton, FL 34207-1704 | 2017-08-02 |
| 1922544485 | A1 Medical Supplies | Durable Medical Equipment & Medical Supplies | 3643 Cortez Rd W, Suite 130 W, Bradenton, FL 34210-3154 | 2017-01-09 |
| 1619336914 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 4536 53rd Ave E, Bradenton, FL 34203-4112 | 2016-02-15 |
| 1245623602 | St Hope Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3501 Cortez Rd W Ste 901, Bradenton, FL 34210-3104 | 2015-03-10 |
| 1245650852 | Manatee Family Pharmacy | Durable Medical Equipment & Medical Supplies | 3705 Manatee Ave W, Bradenton, FL 34205-1711 | 2014-04-22 |
| 1831515121 | Manatee Pharmacy Services Inc. | Durable Medical Equipment & Medical Supplies | 3549 1st Street, Bradenton, FL 34208 | 2014-03-11 |
| 1588086094 | Samson Merger Sub, LLC | Durable Medical Equipment & Medical Supplies | 5802 14th St W, Bradenton, FL 34207-4005 | 2014-01-17 |
| Find all providers in BRADENTON | ||||
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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.