21ST CENTURY ONCOLOGY LLC (NPI# 1891166971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891166971 |
| Entity Type | Organization |
| Organization Name | 21ST CENTURY ONCOLOGY LLC |
| Other Organization Name | THE DONOWAY CENTER FOR CANCER TREATMENT AND PREVENTION |
| Practice Address |
4000 Hollywood Blvd Presidential Circle - Suite 160 North Hollywood FL 33021-6751 |
| Mailing Address |
2234 Colonial Blvd Fort Myers FL 33907-1412 |
| Practice Telephone | 9549866366 |
| Practice Fax Number | 9549864355 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2015-10-14 |
| 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 |
|---|---|
| The Donoway Center for Cancer Treatment and Prevention | 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 |
4000 HOLLYWOOD BLVD PRESIDENTIAL CIRCLE - SUITE 160 NORTH |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021-6751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760400030 | Robert B Donoway | Surgery | 4000 Hollywood Blvd, Presidential Circle, Suite 160 North, Hollywood, FL 33021-6751 | 2006-07-17 |
| 1285244335 | Selena Concepcion | Behavior Technician | 4000 Hollywood Blvd, Hollywood, FL 33021-6751 | 2020-08-04 |
| 1831550201 | Pure Life Renal of Stoughton LLC | Clinic/Center | 4000 Hollywood Blvd, Suite 300-n, Hollywood, FL 33021-1242 | 2016-03-14 |
| 1730548793 | Good Friend Counseling Services | Community/Behavioral Health | 4000 Hollywood Blvd, Hollywood, FL 33021-6751 | 2016-02-18 |
| 1083089114 | Helping Hand Miracles Foundation, LLC | Nursing Facility/Intermediate Care Facility | 4000 Hollywood Blvd, Suite 555-south, Hollywood, FL 33021-6751 | 2015-12-01 |
| 1366848954 | Sfm Surgery Xi | Surgery | 4000 Hollywood Blvd, Suite 160 North, Hollywood, FL 33021-6751 | 2014-11-10 |
| 1588076251 | Vikke Brooks | Marriage & Family Therapist | 4000 Hollywood Blvd, Suite 555-s, Hollywood, FL 33021-6751 | 2014-05-28 |
| 1679985790 | Multi-systemic Solutions LLC | Community/Behavioral Health | 4000 Hollywood Blvd, Suite 555-s, Hollywood, FL 33021-6751 | 2014-05-22 |
| 1558792960 | Hollywood Dialysis LLC | Clinic/Center | 4000 Hollywood Blvd, Suite 175s, Hollywood, FL 33021-6775 | 2013-12-11 |
| 1801228770 | Charlotte Evans | Social Worker | 4000 Hollywood Blvd, Suite 555, Hollywood, FL 33021-6751 | 2013-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
| 1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
| 1649763673 | Sabrina Shoba Mathura | Behavior Technician | 4400 Madison St, Hollywood, FL 33021 | 2018-06-13 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
| 1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
| 1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
| 1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
| 1093233587 | Benjamin Laborde | Physical Therapy Assistant | 4200 Washington Street, Hollywood, FL 33021 | 2017-09-05 |
| 1477079358 | Tt Trans, LLC | Non-emergency Medical Transport (VAN) | 3550 Washington Street, 502, Hollywood, FL 33021 | 2017-08-22 |
| Find all providers in zip 33021 | ||||
| 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 |
|---|---|---|---|---|
| 1649834169 | Florida Comprehensive Health Management LLC | Surgery | 3475 Sheridan St Ste 101, Hollywood, FL 33021-3633 | 2019-04-30 |
| 1376965459 | Ira Glazer | Surgery | 524 N Rainbow Dr, Hollywood, FL 33021-6060 | 2014-01-09 |
| 1780954859 | Michael Parmer | Surgery | 2301 S Ocean Dr, Apt. 504, Hollywood, FL 33019-2621 | 2012-01-06 |
| 1477874907 | Courtney Michelle Edwards | Surgery | 1150 N 35th Ave Ste 200, Hollywood, FL 33021 | 2010-06-18 |
| 1710178116 | Narciso Lino Gomez | Surgery | 3475 Sheridan St Ste 201, Hollywood, FL 33021-3659 | 2007-08-09 |
| 1932319076 | Yin-kan Hwee | Surgery | 1201 N 35th Ave, Suite 200, Hollywood, FL 33021-5468 | 2007-05-23 |
| 1821002171 | Alexander Marmureanu | Surgery | 6253 Hollywood Blvd Apt 1108, Hollywood, CA 90028-8261 | 2006-07-29 |
| 1477567642 | Michael J Mallis | Surgery | 4651 Sheridan St Ste 350, Hollywood, FL 33021-3425 | 2006-07-27 |
| 1760400030 | Robert B Donoway | Surgery | 4000 Hollywood Blvd, Presidential Circle, Suite 160 North, Hollywood, FL 33021-6751 | 2006-07-17 |
| 1770540494 | Luis Asanza | Surgery | 4811 Hollywood Blvd, Suite C, Hollywood, FL 33021 | 2006-04-27 |
| Find all providers in HOLLYWOOD | ||||
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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.