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CLERMONT CANCER CENTER LLC NPI 1225411812


NPI Information

NPI: 1225411812
Provider Name: CLERMONT CANCER CENTER, LLC
Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

CLIA Number: 10D1107475

Address:
1361 CITRUS TOWER BLVD
SUITE 100
CLERMONT, FL
ZIP 34711
Phone: (352) 242-1366
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CLERMONT CANCER CENTER, LLC is a radiation oncology radiology in Clermont, 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. CLERMONT CANCER CENTER, LLC NPI is 1225411812. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1361 CITRUS TOWER BLVD
SUITE 100
CLERMONT, FL
ZIP 34711-924
Phone: (352) 242-1366

The provider's authorized official is Nicki Mcknight .
The authorized official title is Compliance Director and has the following contact phone number (949) 385-5012.

The CLIA number assigned to this NPI record is 10D1107475 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 7/1/2015 and was last updated on 7/1/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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: 11/14/2023

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