BARDMOOR CANCER CENTER LLC NPI 1811923386

NPI Information

NPI: 1811923386
Provider Name: BARDMOOR CANCER CENTER LLC
Classification: Clinic/Center - 261QX0203X
Entity Type: Organization

Specialization: Oncology, Radiation

CLIA Number: 10D1080832

Address:
8787 BRYAN DAIRY RD
SUITE 120
LARGO, FL
ZIP 33777
Phone: (727) 320-0200
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BARDMOOR CANCER CENTER LLC is an oncology and radiation clinic center in Largo, FL. BARDMOOR CANCER CENTER LLC NPI is 1811923386. The provider is registered as an organization entity type.

The provider's business location address is:

8787 BRYAN DAIRY RD
SUITE 120
LARGO, FL
ZIP 33777-251
Phone: (727) 320-0200

The provider's authorized official is Stuart M. Bitting .
The authorized official title is Evp, Cfo and has the following contact phone number (888) 802-9885.

The CLIA number assigned to this NPI record is 10D1080832 - other - free standing er with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/24/2006 and was last updated on 12/7/2021.

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
1	261QX0203X	Clinic/Center	Oncology, Radiation	ME0082928	FLORIDA	Yes

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: 5/5/2024

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