21ST CENTURY ONCOLOGY LLC (NPI# 1316426281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316426281 |
| Entity Type | Organization |
| Organization Name | 21ST CENTURY ONCOLOGY LLC |
| Other Organization Name | BROWARD UROLOGY CENTER |
| Practice Address |
1200 E Broward Blvd Fort Lauderdale FL 33301-2134 |
| Mailing Address |
2160 Colonial Blvd Fort Myers FL 33907-1410 |
| Practice Telephone | 9544636408 |
| Practice Fax Number | 9544631858 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2018-10-24 |
| Authorized Official Name | KIMBERY COMMINS-TZOUMAKAS (CEO) |
| Authorized Official Telephone | 2399317277 |
| Is Organization Subpart | Y |
| Parent Organization Name | 21ST CENTURY ONCOLOGY INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Broward Urology Center | 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 |
| 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 |
| 1891166971 | 21st Century Oncology LLC | Surgery | 4000 Hollywood Blvd, Presidential Circle - Suite 160 North, Hollywood, FL 33021-6751 | 2015-10-14 |
| 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 |
1200 E BROWARD BLVD |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33301-2134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437143187 | Ronald Barry Fauer | Neuromusculoskeletal Medicine, Sports Medicine | 1200 E Broward Blvd, Fort Lauderdale, FL 33301-2134 | 2005-09-08 |
| 1649895350 | Bey Health Solutions LLC | Clinic/Center | 1200 E Broward Blvd, Fort Lauderdale, FL 33301-2134 | 2020-06-09 |
| 1831414143 | Vladislav Gorbatiy | Urology | 1200 E Broward Blvd, Fort Lauderdale, FL 33301-2134 | 2010-03-30 |
| 1306970082 | Fauer Yogel & Chenven Md Pa | Urology | 1200 E Broward Blvd, Fort Lauderdale, FL 33301-2134 | 2007-03-15 |
| 1962493619 | Eric Scott Chenven | Urology | 1200 E Broward Blvd, Fort Lauderdale, FL 33301-2134 | 2005-11-02 |
| 1972594612 | Louis Robert Yogel | Urology | 1200 E Broward Blvd, Fort Lauderdale, FL 33301-2134 | 2005-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568074284 | Sergio Francisco Galvez Leiva | Massage Therapist | 311 Se 15 Avenue, 5, Fort Lauderdale, FL 33301 | 2020-08-24 |
| 1083248355 | Aaidebook Inc | In Home Supportive Care | 501 East Olas Blvd., Suite 300 Office 337, Fort Lauderdale, FL 33301 | 2020-02-26 |
| 1962995845 | Primary Care Specialist of South Florida Pa | Internal Medicine | 20200 W Dixie High Way, 1108, Aventura, FL 33301 | 2018-06-14 |
| 1356877047 | Samaritan Counseling Center | Community Based Residential Treatment Facility, Mental Illness | 101 Se 3rd Avenue, Fort Lauderdale, FL 33301 | 2017-05-02 |
| 1093263956 | Lindsay Elizabeth Halas | Speech-Language Pathologist | 533 Ne 3rd Ave Apt 337, Fort Lauderdale, FL 33301 | 2016-09-20 |
| 1568842433 | Elaina Williams | Behavioral Analyst | 333 Las Olas Way # Cu1, Fort Lauderdale, FL 33301 | 2015-06-04 |
| 1598144057 | Cynthia I Pepper | Occupational Therapist | 440 Ne 4th Ave Unit 722, Fort Lauderdale, FL 33301 | 2015-05-29 |
| 1972900629 | Marquita Rucker | Counselor | 790 East Broward Blvd., Suite 400, Ft. Lauderdale, FL 33301 | 2014-11-24 |
| 1932502879 | Martha Bouza | Obstetrics & Gynecology | 609 Isle of Palms Drive, Fort Lauderdale, FL 33301 | 2014-10-07 |
| 1891117016 | Sara Jimenez | Social Worker | 401 Ne 4th Steret, Ft.lauderdale, FL 33301 | 2014-01-07 |
| Find all providers in zip 33301 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566520 | Chris Cruz | Durable Medical Equipment & Medical Supplies | 2821 E Commercial Blvd Ste 205, Fort Lauderdale, FL 33308-4216 | 2020-10-21 |
| 1811504939 | Associated Benefits Care Group Inc. | Durable Medical Equipment & Medical Supplies | 1995 E Oakland Park Blvd Ste 105, Fort Lauderdale, FL 33306-1113 | 2020-09-24 |
| 1245843309 | Ocean View Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 1975 E Sunrise Blvd Ste 502, Fort Lauderdale, FL 33304-1408 | 2020-08-28 |
| 1740893809 | Rangers Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 1975 E Sunrise Blvd Ste 525, Fort Lauderdale, FL 33304-1409 | 2020-08-28 |
| 1730791989 | National Medical Depot LLC | Durable Medical Equipment & Medical Supplies | 1975 E Sunrise Blvd Ste 812, Fort Lauderdale, FL 33304-1455 | 2020-08-19 |
| 1043828254 | Pelsha Darius | Durable Medical Equipment & Medical Supplies | 1975 E Sunrise Blvd Ste 501, Fort Lauderdale, FL 33304-1410 | 2020-07-14 |
| 1932726189 | Coast 2 Coast Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 1975 E Sunrise Blvd Ste 609, Fort Lauderdale, FL 33304-1453 | 2020-07-02 |
| 1821615071 | South Shore Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 1975 E Sunrise Blvd Ste 624, Fort Lauderdale, FL 33304-1453 | 2020-07-02 |
| 1962029215 | North Shore Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 1975 E Sunrise Blvd Ste 628, Fort Lauderdale, FL 33304-1442 | 2020-07-02 |
| 1699397075 | Altagrace Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 1915 Ne 45th St Ste 109, Fort Lauderdale, FL 33308-5118 | 2020-05-08 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33301 |
Please comment or provide details below to improve the information on 21ST CENTURY ONCOLOGY LLC.
| 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.