COMPREHENSIVE RADIATION ONCOLOGY LLC NPI 1306338090

NPI Information

  • NPI: 1306338090
  • Provider Name: COMPREHENSIVE RADIATION ONCOLOGY, LLC
  • Classification: Radiology - 2085R0001X
  • Specialization: Radiation Oncology
  • Entity Type: Organization
  • Address: 4685 S CONGRESS AVE
    PALM SPRINGS, FL
    ZIP 33461
  • Phone: (561) 548-2662

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NPI Details

COMPREHENSIVE RADIATION ONCOLOGY, LLC is a radiation oncology radiology in Palm Springs, 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. COMPREHENSIVE RADIATION ONCOLOGY, LLC NPI is 1306338090. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4685 S CONGRESS AVE
PALM SPRINGS, FL
ZIP 33461-761
Phone: (561) 548-2662
Fax: (561) 548-1633

The provider's authorized official is W. Tederick Johnson .
The authorized official title is Group Vp/authorized Official and has the following contact phone number (615) 372-3375.

The enumeration date for this NPI number is 5/30/2018 and was last updated on 6/14/2021.

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?

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This page was last updated on: 11/21/2025

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