OrganizationActive
21st Century Oncology LLC
NPI 1346561289 · Urology Physician · Crestview, FL
Provider details
- NPI number
- 1346561289
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Radiation Therapy Services Inc
- Authorized official
- Dianna Harrison, Sr. Director of Provider Relations
Practice location
131 E Redstone Ave
Suite 102
Crestview, FL 32539-5326
Phone: (850) 682-6333
Fax: (850) 682-0865
Mailing address
2234 Colonial Blvd
Fort Myers, FL 33907-1412
Registry dates
- Enumerated
- 2010-06-15
- Last updated
- 2025-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.