Organization · Type 2 NPI

21st Centrury Oncology LLC

Urology Physician · North Fort Myers, FL

NPI number 1255574190 Active

Practice location

18900 N Tamiami Trl, Suite A12
North Fort Myers, FL 33903-7312

Call (239) 931-7342 Map

Fax (239) 931-7385

Mailing address

2234 Colonial Blvd
Fort Myers, FL 33907-1412

Specialties and licenses

Taxonomy	Code	License
Urology Physician Primary	208800000X	None listed

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

10 other providers at this address

NPI record

NPI: 1255574190
Entity type: Organization (Type 2)
Issued: Apr 8, 2009
Last updated: Jul 12, 2019
Status: Active
Subpart: Yes of Radiation Therapy Services Inc

Other names

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Premier Urology · doing business as
Premier Urology · doing business as

Authorized official

Kim Commins
CEO
(239) 931-7277

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1255574190

21st Centrury Oncology LLC's National Provider Identifier is 1255574190, issued on Apr 8, 2009. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in North Fort Myers, FL. The record was last updated on Jul 12, 2019.