Active NPI
Gold Coast Cancer Center LLC
- Hematology & Oncology Physician
- Jupiter, FL
National Provider Identifier
1154640761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- Legal business name
- GOLD COAST CANCER CENTER LLC
- Practice address
- 345 Jupiter Lakes Blvd
Jupiter, FL 33458-7100 - Phone
- (561) 296-9147
- Fax
- (561) 296-9148
- NPI assigned
- May 21, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ravi Patel
- Title
- Managing Director
- Phone
- (561) 795-9845
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | Primary |
Addresses
Primary practice location
345 Jupiter Lakes Blvd
Jupiter, FL 33458-7100
Mailing address
3343 State Road 7
Wellington, FL 33449-8002
Phone (561) 795-9845
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1274400000000",
"number": "1154640761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3343 STATE ROAD 7",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334498002",
"telephone_number": "561-795-9845",
"fax_number": "561-795-8791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 JUPITER LAKES BLVD",
"city": "JUPITER",
"state": "FL",
"postal_code": "334587100",
"telephone_number": "561-296-9147",
"fax_number": "561-296-9148"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLD COAST CANCER CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-21",
"last_updated": "2010-05-21",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "RAVI",
"authorized_official_title_or_position": "MANAGING DIRECTOR",
"authorized_official_telephone_number": "561-795-9845",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.