Mydoctoreb LLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

MYDOCTOREB LLC

Practice address

17407 Lotino PL
Lutz, FL 33548-4815

Phone

(646) 408-7092

NPI assigned

Aug 20, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sophia Edwards-Bennett, MD

Title

Owner

Phone

(646) 408-7092

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597881600000",
    "number": "1114539079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17407 LOTINO PL",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335484815",
            "telephone_number": "646-408-7092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17407 LOTINO PL",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335484815",
            "telephone_number": "646-408-7092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYDOCTOREB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A",
        "authorized_official_last_name": "EDWARDS-BENNETT",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-408-7092",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lynda Jean Myers, LMT
• Robin Andrew Myers, DOM, A.P.
• Terrence Cameron Myers Jr., PHARMD
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• Callie Myrick

• Radiation Oncology Physician in Lutz, FL
• Providers in Lutz, FL by specialty
• Radiation Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.