CCCNF - LAKE BUTLER LLC NPI 1043671241

NPI Information

NPI: 1043671241
Provider Name: CCCNF - LAKE BUTLER, LLC

Other Name: FL DEPT OF CORRECTIONS - RMC CANCER CENTER

Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
7765 S COUNTY ROAD 231
LAKE BUTLER, FL
ZIP 32054
Phone: (386) 496-0900
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CCCNF - LAKE BUTLER, LLC is a radiation oncology radiology in Lake Butler, FL. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. CCCNF - LAKE BUTLER, LLC NPI is 1043671241. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Fl Dept Of Corrections - Rmc Cancer Center.

The provider's business location address is:

7765 S COUNTY ROAD 231
LAKE BUTLER, FL
ZIP 32054-721
Phone: (386) 496-0900
Fax: (386) 496-0777

The provider's authorized official is Stuart M. Bitting .
The authorized official title is Evp and has the following contact phone number (615) 783-1253.

The enumeration date for this NPI number is 3/15/2016 and was last updated on 3/15/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0001X	Radiology	Radiation Oncology	JR45707000	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	RAM LICENSE 4226-1	OTHER	FLORIDA	RADIOACTIVE MATERIAL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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