21st Century Oncology LLC

NPI #1346561289 in Crestview, Florida

Provider Information

NPI Number: 1346561289
Entity Type: Organization
Organization Name: 21st Century Oncology LLC
Subpart: Yes (part of a larger organization)
Parent Organization: RADIATION THERAPY SERVICES INC
Primary Specialty: Urology
Enumeration Date: Jun 15, 2010
Last Updated: Feb 3, 2025

Practice Location

Address: 131 E REDSTONE AVE
Address 2: SUITE 102
City: Crestview
State: Florida
ZIP Code: 32539-5326
Phone: (850) 682-6333

Authorized Official

Name: DIANNA HARRISON
Title: SR. DIRECTOR OF PROVIDER RELATIONS
Phone: (239) 931-7342

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X
Urology	208800000X	Primary

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