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NPI 1417360918

OrganizationActive

21st Century Oncology LLC

NPI 1417360918 · Surgery Physician · Port Charlotte, FL

Provider details

NPI number: 1417360918
Entity type: Organization
Primary specialty: Surgery PhysicianAllopathic & Osteopathic Physicians
Parent organization: 21st Century Oncology Inc
Authorized official: Kim Commins, Ceo

Practice location

18308 Murdock Cir

Unit 105

Port Charlotte, FL 33948-1025

Phone: (941) 743-4150

Fax: (941) 743-4427

More FL providers

Mailing address

2234 Colonial Blvd

Fort Myers, FL 33907-1412

Registry dates

Enumerated: 2014-06-03
Last updated: 2019-07-12

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

21st Century Oncology LLC — NPI 1417360918, Port Charlotte, FL | NPI Central