21St Century Oncology LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

21ST CENTURY ONCOLOGY LLC

Doing business as

Broward Urology Center

Practice address

1200 E Broward Blvd
Fort Lauderdale, FL 33301-2134

Phone

(954) 463-6408

Fax

(954) 463-1858

NPI assigned

Aug 10, 2018

Last updated

Oct 24, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

21ST CENTURY ONCOLOGY INCAs reported in NPPES

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

Authorized official

Name

Kimbery Commins-Tzoumakas

Title

Ceo

Phone

(239) 931-7277

Specialties & licenses 1

Addresses

Other names 1

• Broward Urology Center Doing business as

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• 21St Century Oncology LLC

  dba Florida Specialists in Urology

  • Durable Medical Equipment & Medical Supplies
  • Fort Myers, FL
  • NPI 1255531786
  NPPES parent name

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

{
    "created_epoch": "1533859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540339200000",
    "number": "1316426281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 COLONIAL BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071410",
            "telephone_number": "239-931-7342",
            "fax_number": "239-931-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E BROWARD BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012134",
            "telephone_number": "954-463-6408",
            "fax_number": "954-463-1858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "21ST CENTURY ONCOLOGY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "21ST CENTURY ONCOLOGY INC",
        "enumeration_date": "2018-08-10",
        "last_updated": "2018-10-24",
        "status": "A",
        "authorized_official_last_name": "COMMINS-TZOUMAKAS",
        "authorized_official_first_name": "KIMBERY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "239-931-7277"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broward Urology Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Broward Urology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; 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.