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SUITE 3
JACKSONVILLE, FL 322078554
FORT MYERS, FL 339071412
Organization
21ST CENTURY ONCOLOGY OF JACKSONVILLE LLC
NPI 1215101902
Active
Internal Medicine, Medical Oncology
Quick Facts
NPI Number
1215101902
Type
Organization (NPI-2)
Status
Active
Enumeration Date
2008-04-15
Last Updated (NPPES)
2011-01-05
Primary Specialty / Taxonomy
| Taxonomy | Internal Medicine, Medical Oncology |
| Taxonomy Code | 207RX0202X |
Other Taxonomies
- Surgery, Surgical Oncology
Practice Address
1235 SAN MARCO BLVDSUITE 3
JACKSONVILLE, FL 322078554
Phone: 904-493-5100
Fax: 904-493-5130
Mailing Address
2234 COLONIAL BLVDFORT MYERS, FL 339071412
Data sourced live from the CMS NPPES NPI Registry (npiregistry.cms.hhs.gov) and cached locally. This is a public directory lookup, not a credentialing or verification service — confirm critical details directly with NPPES or the provider.