Organization · Type 2 NPI
21st Century Oncology LLC
Urology Physician · Fort Walton Beach, FL
Practice location
914B Mar Walt Dr
Fort Walton Beach, FL 32547-6706
Fax (850) 862-8564
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.
3 other providers at this address
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- Basil D. Fossum, M.d., F.a.c.s.Urology Physician Fort Walton Beach, FL NPI 1235326026
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About NPI 1306234174
21st Century Oncology LLC's National Provider Identifier is 1306234174, issued on Jan 2, 2015. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Fort Walton Beach, FL. The record was last updated on Jul 12, 2019.