MYDOCTOREB LLC NPI 1114539079

NPI Information

  • NPI: 1114539079
  • Provider Name: MYDOCTOREB LLC
  • Classification: Radiology - 2085R0001X
  • Specialization: Radiation Oncology
  • Entity Type: Organization
  • Address: 17407 LOTINO PL
    LUTZ, FL
    ZIP 33548
  • Phone: (646) 408-7092

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NPI Details

MYDOCTOREB LLC is a radiation oncology radiology in Lutz, 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. MYDOCTOREB LLC NPI is 1114539079. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17407 LOTINO PL
LUTZ, FL
ZIP 33548-815
Phone: (646) 408-7092

The provider's authorized official is Sophia Edwards-bennett .
The authorized official title is Owner and has the following contact phone number (646) 408-7092.

The enumeration date for this NPI number is 8/20/2020 and was last updated on 8/20/2020.

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
12085R0001XRadiologyRadiation OncologyYes

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: 3/30/2025

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