21ST CENTURY ONCOLOGY LLC (NPI# 1417360918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417360918 |
| Entity Type | Organization |
| Organization Name | 21ST CENTURY ONCOLOGY LLC |
| Other Organization Name | STEVEN B GOLDIN MD |
| Practice Address |
18308 Murdock Cir Unit 105 Port Charlotte FL 33948-1025 |
| Mailing Address |
2234 Colonial Blvd Fort Myers FL 33907-1412 |
| Practice Telephone | 9417434150 |
| Practice Fax Number | 9417434427 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2019-07-12 |
| Authorized Official Name | KIM COMMINS (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 | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Steven B Goldin MD | 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 |
18308 MURDOCK CIR UNIT 105 |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33948-1025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558332387 | David M Kanuck | Podiatrist | 18308 Murdock Cir, Ste 102, Port Charlotte, FL 33948-1025 | 2006-01-30 |
| 1700217460 | Bayshore Pathology Consultants Pa | Pathology | 18308 Murdock Cir, Ste 105, Port Charlotte, FL 33948-1025 | 2013-12-06 |
| 1467889667 | Genesiscare Usa of Florida LLC | Surgery | 18308 Murdock Cir, Suite 105, Port Charlotte, FL 33948-1025 | 2013-10-02 |
| 1689011488 | Ultimate Wellness Rehab LLC | Physical Therapy Assistant | 18308 Murdock Cir, Ste 107, Port Charlotte, FL 33948-1025 | 2013-06-03 |
| 1033441001 | Alejandro J. Gruneiro M.d. P.a. | Specialist | 18308 Murdock Cir, 109, Port Charlotte, FL 33948-1008 | 2010-02-02 |
| 1427138239 | Karen Cagen Zusman | Occupational Therapist | 18308 Murdock Cir, Port Charlotte, FL 33948-1025 | 2006-10-16 |
| 1114962248 | Steven Bradley Goldin | Surgery | 18308 Murdock Cir, Unit 105, Port Charlotte, FL 33948-1025 | 2006-06-20 |
| 1407819295 | Matthew R. Bagan | Surgery | 18308 Murdock Cir, Unit 105, Port Charlotte, FL 33948-1025 | 2006-04-11 |
| 1588633549 | Alejandro J. Gruneiro | Surgery | 18308 Murdock Cir, 109, Port Charlotte, FL 33948-1008 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750926705 | Kelli Sue Boley | Pharmacist | 19100 Murdock Circle, Port Charlotte, FL 33948 | 2019-11-14 |
| 1013469709 | Daria Erdmann | Counselor | 1720 El Jobean Rd Unit 200, Port Charlotte, FL 33948 | 2016-10-27 |
| 1699172270 | Best Hearing Aid Solutions, Inc | Hearing Instrument Specialist | 1931 Tamiami Tr #7, Port Charlotte, FL 33948 | 2014-11-26 |
| 1811331283 | Nic 4 Village Place Leasing LLC | Assisted Living Facility | 18400 Cochran Blvd., Port Charlotte, FL 33948 | 2013-04-29 |
| 1215277686 | Sarah Anne Baker | Physical Therapy Assistant | 18480 Corcoran Blvd., Port Charlotte, FL 33948 | 2013-02-22 |
| 1023362373 | Clement Gustavous Smith | Adult Companion | 3081 Jody Street, Port Charlotte, FL 33948 | 2012-11-07 |
| 1306106232 | Charlotte County Family Ymca, Inc | Physical Therapist | 19333 Quesada Ave, Port Charlotte, FL 33948 | 2012-05-25 |
| 1043529738 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 3280 Tamiami Trail # 56, Port Charlotte, FL 33948 | 2010-09-29 |
| 1508099847 | Victoria Lynn Wagner | Hearing Instrument Specialist | 1441 Tamiami Trail, #491, Port Charlotte, FL 33948 | 2009-09-03 |
| 1902060601 | Domingo E Galliano Jr Pa | Surgery | 18308 Murdock Circle 108, Domingo E Galliano Jr Md Pa, Port Charlotte, FL 33948 | 2008-07-11 |
| Find all providers in zip 33948 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427395680 | John F Guarino Md Pa | Surgery | 4245 Kings Hwy, Unit A, Port Charlotte, FL 33980 | 2013-01-08 |
| 1174814842 | Alvaro Miguel Bada | Surgery | 18308 Murdock Cir Unit 101, Port Charlotte, FL 33948-1025 | 2011-04-28 |
| 1720222458 | Maria Fernanda Castilla | Surgery | 21260 Olean Blvd Ste 204, Port Charlotte, FL 33952-6742 | 2009-04-24 |
| 1902060601 | Domingo E Galliano Jr Pa | Surgery | 18308 Murdock Circle 108, Domingo E Galliano Jr Md Pa, Port Charlotte, FL 33948 | 2008-07-11 |
| 1457434169 | Tareq Al-khatib | Surgery | 2852 Tamiami Tr, Ste 5, Port Charlotte, FL 33952 | 2006-10-24 |
| 1093747990 | John E Moenning | Surgery | 21450 Gibralter Dr, Port Charlotte, FL 33952-5417 | 2006-07-07 |
| 1417989328 | John F Guarino | Surgery | 4245 Kings Highway, Unit A, Port Charlotte, FL 33980 | 2006-07-07 |
| 1023074911 | Alvaro Ramon Bada | Surgery | 18308 Murdock Circle, #101, Port Charlotte, FL 33948 | 2006-04-21 |
| 1295704252 | Laura Ann Gruneiro | Surgery | 18316 Murdock Circle, Suite 107, Port Charlotte, FL 33948 | 2006-03-14 |
| 1275526097 | Alejandro Callejas | Surgery | 2525 Harbor Blvd, 203, Port Charlotte, FL 33952-5317 | 2005-08-26 |
| Find all providers in PORT CHARLOTTE | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33948 |
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.