21ST CENTURY ONCOLOGY, INC. (NPI# 1679517452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679517452 |
| Entity Type | Organization |
| Organization Name | 21ST CENTURY ONCOLOGY, INC. |
| Other Organization Name | SOUTH FLORIDA GYNECOLOGIC ONCOLOGY |
| Practice Address |
5000 University Dr Suite 3300 Coral Gables FL 33146-2008 |
| Mailing Address |
2234 Colonial Blvd Fort Myers FL 33907-1412 |
| Practice Telephone | 3056637001 |
| Practice Fax Number | 3056637004 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2019-07-12 |
| 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 | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 060239633 | 05 | |
| FL | 060239631 | 05 | |
| FL | 060239632 | 05 | |
| FL | 060239634 | 05 |
| Other Name | Type Code |
|---|---|
| South Florida Gynecologic Oncology | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | 21ST CENTURY ONCOLOGY, INC. | 3175 Harbor Blvd, Port Charlotte, FL 33952-6729 |
| Street Address |
5000 UNIVERSITY DR SUITE 3300 |
| City | CORAL GABLES |
| State | FL |
| Zip Code | 33146-2008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821095829 | Manuel A. Penalver | Obstetrics & Gynecology | 5000 University Dr, Suite 3300, Coral Gables, FL 33146-2008 | 2005-07-05 |
| 1255956017 | Doctors Hospital Inc | Non-Pharmacy Dispensing Site | 5000 University Dr, Coral Gables, FL 33146-2008 | 2020-06-08 |
| 1609499854 | Mauricio Rey | Nurse Practitioner | 5000 University Dr, Coral Gables, FL 33146-2008 | 2020-05-22 |
| 1710530332 | Larisse Duarte Greenwell | Registered Nurse | 5000 University Dr, Coral Gables, FL 33146-2008 | 2019-07-23 |
| 1417511213 | Anyelit Sequera | Specialist/Technologist | 5000 University Dr, Coral Gables, FL 33146-2008 | 2019-04-26 |
| 1558820530 | Veronica C Hernandez | Occupational Therapist | 5000 University Dr, Coral Gables, FL 33146-2008 | 2019-03-18 |
| 1366906265 | Veronica Marie Gonzalez | Registered Nurse | 5000 University Dr, Coral Gables, FL 33146-2008 | 2019-01-24 |
| 1790256576 | Arelys Diana Rodriguez | Nurse Practitioner | 5000 University Dr, Coral Gables, FL 33146-2008 | 2018-12-05 |
| 1023588175 | Michelle Lakeman Chavoustie | Nurse Practitioner | 5000 University Dr, Coral Gables, FL 33146-2008 | 2018-12-03 |
| 1376019885 | Crystal Vinas | Nurse Practitioner | 5000 University Dr, Coral Gables, FL 33146-2008 | 2018-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932751427 | Megan Gabrielle Mcleod | Dietitian, Registered | 5821 San Amaro Drive, Coral Gables, FL 33146 | 2019-07-15 |
| 1225596919 | Cami Cyan Marshall | Specialist/Technologist | Knight Sports Complex, 5821 San Amaro Drive, Coral Gables, FL 33146 | 2019-03-12 |
| 1225596224 | Daniel Rodriguez | Specialist/Technologist | Knight Sport Complex, 5821 San Amaro Dr, Coral Gables, FL 33146 | 2019-03-08 |
| 1134687122 | Nicholas Rice | Specialist/Technologist | Knight Sports Complex, 5821 San Amaro Dr, Coral Gables, FL 33146 | 2019-03-08 |
| 1396222436 | Julienne Cave | Nurse Practitioner | 4425 Ponce De Leon Blvd Ste 200, Coral Gables, FL 33146 | 2018-07-22 |
| 1891245379 | Michelle Marie Penaranda | Nurse Practitioner | 1299 Theo Dickinson Dr, Coral Gables, FL 33146 | 2016-10-10 |
| 1629526116 | Joanna Vidal | Developmental Therapist | 1550 S Dixie Highway, Suite 203, Coral Gables, FL 33146 | 2016-09-14 |
| 1801265970 | Borinquen Health Care Center Inc | Clinic/Center | 5801 Augusto Street, Ponce De Leon Middle, Coral Gables, FL 33146 | 2015-09-18 |
| 1962898106 | Kshitij Manchanda | Orthopaedic Surgery | 1150 Campo Sano Ave, 2nd Floor, Attn: Maria Claudia Corrandine, Coral Gables, FL 33146 | 2015-04-14 |
| 1437584455 | Amanda C Pina | Occupational Therapist | 3150 Sw 38 Avenue, Suite. 600, Miami, FL 33146 | 2013-09-10 |
| Find all providers in zip 33146 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992005086 | Jocelyn Garcia-sayre | Obstetrics & Gynecology | 5000 University Dr Ste 3300, Coral Gables, FL 33146-2008 | 2010-10-24 |
| 1821095829 | Manuel A. Penalver | Obstetrics & Gynecology | 5000 University Dr, Suite 3300, Coral Gables, FL 33146-2008 | 2005-07-05 |
| 1831380906 | Gynecologic Oncology Associates Inc | Obstetrics & Gynecology | 5000 University Dr, Suite 3300, Coral Gables, FL 33146-2008 | 2007-08-05 |
| 1730187287 | Luis E. Mendez | Obstetrics & Gynecology | 5000 University Dr, Suite 3300, Coral Gables, FL 33146-2008 | 2005-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
| 1851738793 | Christopher De Haydu | Obstetrics & Gynecology | 1121 Nw 14th St Dept Gyn, Miami, FL 33136-2106 | 2013-06-02 |
| 1811330897 | Maria Paula Ruiz | Obstetrics & Gynecology | 6400 W Newberry Rd Ste 103, Gainesville, FL 32605-4384 | 2013-04-09 |
| 1063641827 | Kenneth Daniel Webster | Obstetrics & Gynecology | 3825 Sw 86th St., Gainesville, FL 32608-7901 | 2009-07-14 |
| 1942444526 | Mostafa A Selim | Obstetrics & Gynecology | 338 Wellington Dr., Palm Coast, FL 32164 | 2009-04-27 |
| 1063670255 | Women's Choice Oncology, Pllc | Obstetrics & Gynecology | 3425 University Parkway Unit 102, Sarasota, FL 34243 | 2008-05-25 |
| 1912197641 | Gyn Oncology Associates Pl | Obstetrics & Gynecology | 2617 Mitcham Dr Ste 101, Tallahassee, FL 32308-5479 | 2007-07-30 |
| 1336368547 | Stacey Ann South | Obstetrics & Gynecology | 3425 University Pkwy Unit 102, Sarasota, FL 34243-4271 | 2007-04-25 |
| 1982766044 | Philip Townsend Md Pa | Obstetrics & Gynecology | 675 Harvard St, Brooksville, FL 34601-2823 | 2006-12-15 |
| 1730279670 | Antonella Restivo Leary | Obstetrics & Gynecology | 3401 Pga Blvd., Suite 200, Palm Beach Gardens, FL 33410-2824 | 2006-10-13 |
| Find all providers with the same taxonomy | ||||
| City | CORAL GABLES |
| Zip Code | 33146 |
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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.