21ST CENTURY ONCOLOGY LLC (NPI# 1205985264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205985264 |
| Entity Type | Organization |
| Organization Name | 21ST CENTURY ONCOLOGY LLC |
| Other Organization Name | FLORIDA SPECIALISTS IN UROLOGY |
| Practice Address |
7335 Gladiolus Dr Fort Myers FL 33908-5122 |
| Mailing Address |
2234 Colonial Blvd Fort Myers FL 33907-1412 |
| Practice Telephone | 2396896677 |
| Practice Fax Number | 2399395809 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2019-07-15 |
| Authorized Official Name | KIM COMMINS (CEO) |
| Authorized Official Telephone | 2399317275 |
| Is Organization Subpart | Y |
| Parent Organization Name | RADIATION THERAPY SERVICES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAILROAD MEDICARE | CE7138 | 01 |
| Other Name | Type Code |
|---|---|
| Florida Specialists in Urology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740748706 | 21st Century Oncology LLC | Internal Medicine | 3651 Fau Blvd Ste 100, Boca Raton, FL 33431-6489 | 2019-03-08 |
| 1669701918 | 21st Century Oncology LLC | Urology | 1044 Goodlette Rd N, Naples, FL 34102-5449 | 2009-12-16 |
| 1790993632 | 21st Century Oncology LLC | Durable Medical Equipment & Medical Supplies | 1255 Viscaya Pkwy # 2, Suite 201, Cape Coral, FL 33990-3290 | 2007-05-21 |
| 1316426281 | 21st Century Oncology LLC | Durable Medical Equipment & Medical Supplies | 1200 E Broward Blvd, Fort Lauderdale, FL 33301-2134 | 2018-08-10 |
| 1922456722 | 21st Century Oncology LLC | Surgery | 10141 Forest Hill Blvd, Wellington, FL 33414-6103 | 2016-06-02 |
| 1568820363 | 21st Century Oncology LLC | Surgery | 3300 Us 27 S, Avon Park, FL 33825-9701 | 2016-02-08 |
| 1558729855 | 21st Century Oncology LLC | Surgery | 6405 N Federal Hwy, Suite 401, Fort Lauderdale, FL 33308-1412 | 2016-02-02 |
| 1730551227 | 21st Century Oncology LLC | Surgery | 1411 N Flagler Dr, Suite 7300, West Palm Beach, FL 33401-3404 | 2015-10-23 |
| 1679945158 | 21st Century Oncology LLC | Urology | 787 37th St, Suite E-200, Vero Beach, FL 32960-7305 | 2015-10-23 |
| 1871964916 | 21st Century Oncology LLC | Urology | 10115 Forest Hill Blvd, Suite 100, Wellington, FL 33414-3105 | 2015-10-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | 21ST CENTURY ONCOLOGY LLC | 3651 Fau Blvd Ste 100, Boca Raton, FL 33431-6489 |
| Street Address |
7335 GLADIOLUS DR |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33908-5122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992770507 | Robert Scott Gilbert | Physician Assistant | 7335 Gladiolus Dr, Fort Myers, FL 33908-5101 | 2006-02-18 |
| 1841841822 | Anisa Meghan Jallal | Physician Assistant | 7335 Gladiolus Dr, Fort Myers, FL 33908-5101 | 2019-09-22 |
| 1275181265 | Rachel Michele Bautsch | Physician Assistant | 7335 Gladiolus Dr, Fort Myers, FL 33908-5101 | 2019-09-03 |
| 1598129991 | Shonna P Baldwin | Nurse Practitioner | 7335 Gladiolus Dr, Fort Myers, FL 33908 | 2016-04-12 |
| 1679998082 | Genesiscare Usa of Florida LLC | Internal Medicine | 7335 Gladiolus Dr, Fort Myers, FL 33908-5101 | 2014-02-21 |
| 1558703652 | Harry Tsai Md LLC | Urology | 7335 Gladiolus Dr, Fort Myers, FL 33908-5101 | 2013-07-18 |
| 1609142264 | Krunal Bharat Patel | Internal Medicine | 7335 Gladiolus Dr, Fort Myers, FL 33908 | 2012-03-28 |
| 1457675316 | Adam James Quarles | Nurse Practitioner | 7335 Gladiolus Dr, Fort Myers, FL 33908-5101 | 2010-03-22 |
| 1336337591 | Andrew I Horowitz | Urology | 7335 Gladiolus Dr, Fort Myers, FL 33908-5101 | 2007-10-11 |
| 1891985669 | Emily Day | Physician Assistant | 7335 Gladiolus Dr, Fort Myers, FL 33908-5101 | 2007-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081806 | 1 Recovery | Community/Behavioral Health | 111 Daniels Dr, Fort Myers, FL 33908 | 2020-10-20 |
| 1457916462 | Avipharm, LLC | Pharmacy | 7669 Calistoble Loop, 2nd Floor, Fort Myers, FL 33908 | 2019-05-06 |
| 1013492289 | Craig M Stein | Pharmacist | 15236 Tropic Bird Court, Fort Myers, FL 33908 | 2018-10-03 |
| 1730665167 | Kyndra Lynn Petrick | Psychiatry & Neurology | 8560 Big Mangrove Dr, Fort Myers, FL 33908 | 2018-07-18 |
| 1447757547 | Douglas L Jarrett | Nurse Practitioner | 16261 Bass Rd Suite 300, Fort Myers, FL 33908 | 2018-04-06 |
| 1447754825 | Luis Daniel Ramos | General Practice | 15590 Ocean Walk Cir Apt 201, Fort Myers, FL 33908 | 2018-03-21 |
| 1619497062 | Vanesa Paola Vaquer | Dentist | 18070 S Tamiami Trl Ste 101, Fort Myers, FL 33908 | 2017-06-26 |
| 1962859603 | Teresa Ruiz | Behavior Technician | 15081 Woodrich Bend Ct Apt 416, Fort Myers, FL 33908 | 2016-05-23 |
| 1669865721 | Elena B. Alexiev | Dentist | 18070 S. Tamiami Trail, #101, Fort Myers, FL 33908 | 2015-03-13 |
| 1134488919 | Cecelia Anne Collins | Dietitian, Registered | 9215 Calle Arragon Avenue, Unit 205, Fort Myers, FL 33908 | 2012-05-14 |
| Find all providers in zip 33908 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366916843 | Dr. Carolyn Langford Urologic Solutions, LLC | Urology | 9400 Gladiolus Dr Ste 30, Fort Myers, FL 33908-9615 | 2019-01-17 |
| 1427388065 | Davis Fessenden Gates | Urology | 1255 Osceola Dr, Fort Myers, FL 33901-6729 | 2010-01-04 |
| 1386656528 | Meir Daller | Urology | 14320 Metropolis Ave Ste 1, Fort Myers, FL 33912-4539 | 2006-08-13 |
| 1326054131 | Lewis B Chaikin | Urology | 4048 Evans Ave Ste 306, Fort Myers, FL 33901-9390 | 2006-08-01 |
| 1376558866 | Philip Newhall | Urology | 12651 Whitehall Dr, Fort Myers, FL 33907-3626 | 2006-07-31 |
| 1538185939 | Veronique Fernandez-salvador | Urology | 7451 Gladiolus Dr, Fort Myers, FL 33908-5193 | 2006-07-15 |
| 1215913975 | David S Harris | Urology | 6811 Palisades Park Ct Ste 1, Fort Myers, FL 33912 | 2005-12-15 |
| 1548810823 | Bradley J Trifilo | Urology | 14320 Metropolis Ave Ste 1, Fort Myers, FL 33912-4539 | 2019-09-18 |
| 1558737148 | Scappa Urology, Pa | Urology | 9400 Gladiolus Dr, Suite 30, Fort Myers, FL 33908-6699 | 2015-08-18 |
| 1275917304 | 21st Century Oncology LLC | Urology | 4571 Colonial Blvd, Fort Myers, FL 33966-1156 | 2015-07-18 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33908 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.