OrganizationActive
Mydoctoreb LLC
NPI 1114539079 · Radiation Oncology Physician · Lutz, FL
Provider details
- NPI number
- 1114539079
- Entity type
- Organization
- Primary specialty
- Radiation Oncology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sophia Edwards-Bennett, Owner(646) 408-7092
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
17407 Lotino Pl
Lutz, FL 33548-4815
Phone: (646) 408-7092
Street-level locationGet directions
Mailing address
17407 Lotino Pl
Lutz, FL 33548-4815
Registry dates
- Enumerated
- 2020-08-20
- Last updated
- 2020-08-20
- Certified
- 2020-08-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.