21ST CENTURY ONCOLOGY LLC (NPI# 1730551227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730551227 |
| Entity Type | Organization |
| Organization Name | 21ST CENTURY ONCOLOGY LLC |
| Other Organization Name | RAYMOND HENDERSON MD |
| Practice Address |
1411 N Flagler Dr Suite 7300 West Palm Beach FL 33401-3404 |
| Mailing Address |
2234 Colonial Blvd Fort Myers FL 33907-1412 |
| Practice Telephone | 5618049898 |
| Practice Fax Number | 5618049049 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2015-10-23 |
| 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 |
|---|---|
| Raymond Henderson 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 |
| 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 |
1411 N FLAGLER DR SUITE 7300 |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33401-3404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306849476 | James Edward Vanek | Internal Medicine | 1411 N Flagler Dr, Ste 4500, West Palm Beach, FL 33401-3404 | 2005-05-23 |
| 1942856315 | Nicole Marie Perez | Nurse Practitioner | 1411 N Flagler Dr, West Palm Beach, FL 33401-3404 | 2019-08-12 |
| 1255891388 | Aaddomedpartners Pa | Internal Medicine | 1411 N Flagler Dr, West Palm Beach, FL 33401-3404 | 2019-03-24 |
| 1104395391 | Roslyn J Fox | Nurse Practitioner | 1411 N Flagler Dr, West Palm Beach, FL 33401-3404 | 2018-11-16 |
| 1720507072 | Royal Palm Beach Rehab Corp | Orthopaedic Surgery | 1411 N Flagler Dr, Suite 4600, West Palm Beach, FL 33401-3404 | 2017-09-18 |
| 1053856617 | Mdvip Medical Group Fl Pllc | Internal Medicine | 1411 N Flagler Dr, Suite 6200, West Palm Beach, FL 33401-3404 | 2017-01-05 |
| 1225571193 | Kleper De Almeida Md LLC | Internal Medicine | 1411 N Flagler Dr, Suite 7900, West Palm Beach, FL 33401-3404 | 2016-11-28 |
| 1124561402 | Select Women's Healthcare LLC | Nurse Practitioner | 1411 N Flagler Dr, Suite #6400, West Palm Beach, FL 33401-3404 | 2016-11-18 |
| 1588016034 | Elice Holden | Nurse Practitioner | 1411 N Flagler Dr, Ste 3800, West Palm Beach, FL 33401-3426 | 2016-07-08 |
| 1952751786 | Mbr International, LLC | Clinic/Center | 1411 N Flagler Dr, #8900-b, West Palm Beach, FL 33401-3404 | 2016-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598371882 | Curt David Miller | Nurse Practitioner | 5300 East Avenue West Palm Beach Fl, West Palm Beach, FL 33401 | 2020-09-22 |
| 1699338152 | Carly N Lupo | Social Worker | 700 S Rosemary Ave, Suite 204 Ofc 101, West Palm Beach, FL 33401 | 2019-04-19 |
| 1740752625 | Latasha Harper | Specialist | 512 N St, West Palm Beach, FL 33401 | 2018-12-17 |
| 1124595640 | Elin Nordegren | Counselor | 1555 Palm Beach Lakes Blvd Suite 1560, West Palm Beach, FL 33401 | 2018-11-02 |
| 1205318664 | Phanette Turene | Behavior Technician | 1720 N Congress Ave Apt B207, West Palm Beach, FL 33401 | 2018-09-02 |
| 1790277002 | Ashley Zarda | Developmental Therapist | 253 8th St, West Palm Beach, FL 33401 | 2018-06-01 |
| 1487162988 | Pinnacle Counseling Service Pllc | Social Worker | 1900 S Olive Avenue, West Palm Beach, FL 33401 | 2018-01-18 |
| 1245754027 | Patricia Caroscio | Dental Hygienist | 800 Clematis Street, West Palm Beach, FL 33401 | 2017-08-02 |
| 1255852562 | Dermnow Pa | Dermatology | 1500 N Flasler Dr #, 101, West Palm Beach, FL 33401 | 2017-06-28 |
| 1699204289 | Edward Gerardo Ortiz | Counselor | 1639 Forum Place Suite #7, West Palm Beach, West Palm Beach, FL 33401 | 2017-06-07 |
| Find all providers in zip 33401 | ||||
| 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 |
|---|---|---|---|---|
| 1477790723 | Stuart J Schwartz | Surgery | 7960 Sandhill Court, West Palm Beach, FL 33412-3104 | 2009-01-08 |
| 1902921067 | Kimmerle Chrishina Cohen | Surgery | 1411 N Flagler Dr Ste 4900, West Palm Beach, FL 33401-3410 | 2007-03-20 |
| 1154494912 | Elena Teresa Rehl | Surgery | 1411 N Flagler Dr Ste 5000, West Palm Beach, FL 33401-3410 | 2006-11-17 |
| 1225141468 | Daniel Roland Higgins | Surgery | 1201 N Olive Ave, West Palm Beach, FL 33401-3515 | 2006-08-15 |
| 1922017938 | Andrew M Georgeson | Surgery | 4700 N Congress Ave Ste 301, West Palm Beach, FL 33407-3292 | 2006-08-07 |
| 1659392256 | Michael Darryl Black | Surgery | 927 45th St Ste 301, West Palm Beach, FL 33407-2450 | 2006-07-21 |
| 1689043523 | Genesiscare Usa of Florida LLC | Surgery | 1201 N Olive Ave, West Palm Beach, FL 33401-3515 | 2015-09-22 |
| 1780053637 | Genesiscare Usa of Florida LLC | Surgery | 1201 N Olive Ave, West Palm Beach, FL 33401-3515 | 2015-09-22 |
| 1740572478 | Andrew S. Lepoff Do Pa | Surgery | 2051 45th St, Suite 201, West Palm Beach, FL 33407-2027 | 2011-05-13 |
| 1043511728 | Graduate Surgical Pa | Surgery | 1201 N Olive Ave, West Palm Beach, FL 33401-3515 | 2010-11-11 |
| Find all providers in WEST PALM BEACH | ||||
| City | WEST PALM BEACH |
| Zip Code | 33401 |
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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.