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21ST CENTURY ONCOLOGY LLC NPI 1518105394


NPI Information

NPI: 1518105394
Provider Name: 21ST CENTURY ONCOLOGY LLC

Doing Business As: GULFSTREAM UROLOGY

Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 10D2131027

Address:
8931 COLONIAL CENTER DR
SUITE 100
FORT MYERS, FL
ZIP 33905
Phone: (239) 277-5770
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21ST CENTURY ONCOLOGY LLC is an urology in Fort Myers, FL. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. 21ST CENTURY ONCOLOGY LLC NPI is 1518105394. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Gulfstream Urology.

The provider's business location address is:

8931 COLONIAL CENTER DR
SUITE 100
FORT MYERS, FL
ZIP 33905-809
Phone: (239) 277-5770
Fax: (239) 985-1911

The provider's authorized official is Kim Commins .
The authorized official title is Ceo and has the following contact phone number (239) 931-7275.

The CLIA number assigned to this NPI record is 10D2131027 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/2/2009 and was last updated on 7/12/2019.


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
1208800000XUrologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CE7138OTHERFLORIDARAILROAD MEDICARE

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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