21ST CENTURY ONCOLOGY OF JACKSONVILLE LLC – NPI #1215101902
Internal Medicine

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

Health Care Provider Taxonomy Code for Internal Medicine

21ST CENTURY ONCOLOGY OF JACKSONVILLE LLC is a provider located in JACKSONVILLE, FL. NPPES has assigned the NPI number 1215101902 to 21ST CENTURY ONCOLOGY OF JACKSONVILLE LLC on April 15, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RX0202X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Medical Oncology

The NPI profile was previously updated about 15 years ago on Jan 05, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 21ST CENTURY ONCOLOGY OF JACKSONVILLE LLC below.

NPI Profile for
21ST CENTURY ONCOLOGY OF JACKSONVILLE LLC

NPI Number
1215101902
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
21ST CENTURY ONCOLOGY OF JACKSONVILLE LLC
Primary location
1235 SAN MARCO BLVD
SUITE 3
JACKSONVILLE, FL 32207-8554
Phone: (904) 493-5100 Fax: (904) 493-5130
Mailing address
2234 COLONIAL BLVD
FORT MYERS, FL 33907-1412
Phone: (239) 931-7342 Fax: (239) 931-7385
Organization Subpart
Yes - 21ST CENTURY ONCOLOGY OF JACKSONVILLE LLC is subpart of another organization.
Authorized Official
DANIEL DOSORETZ
PRESIDENT/CEO
Phone: (239) 931-7275
Updated
Identifiers

Identifiers for 21ST CENTURY ONCOLOGY OF JACKSONVILLE LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
MEDICAIDFL281173100
MEDICAIDFL281173101
MEDICAIDFL281173102
MEDICAIDFL281173103
MEDICAIDFL281173104
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RX0202X
- Internal Medicine / Medical Oncology (Primary)
2086X0206X
- Surgery / Surgical Oncology

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.