SFM Radiation V

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

SFM RADIATION V

Practice address

4850 W Oakland Park Blvd
Suite C
Lauderdale Lakes, FL 33313-7260

Phone

(954) 485-7707

Fax

(954) 485-8155

NPI assigned

Mar 1, 2013

Organization subpart

Yes

Parent organization

SOUTH FLORIDA MEDICINE LLCAs reported in NPPES

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

Authorized official

Name

Nandita Joshi

Title

Credentialing Specialist

Phone

(561) 721-2464

Specialties & licenses 1

Addresses

Part of

South Florida Medicine LLC

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

{
    "created_epoch": "1362096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362096000000",
    "number": "1871833780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 W OAKLAND PARK BLVD",
            "address_2": "SUITE C",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333137260",
            "telephone_number": "954-485-7707",
            "fax_number": "954-485-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 W OAKLAND PARK BLVD",
            "address_2": "SUITE C",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333137260",
            "telephone_number": "954-485-7707",
            "fax_number": "954-485-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SFM RADIATION V",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH FLORIDA MEDICINE LLC",
        "enumeration_date": "2013-03-01",
        "last_updated": "2013-03-01",
        "status": "A",
        "authorized_official_last_name": "JOSHI",
        "authorized_official_first_name": "NANDITA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "561-721-2464"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; 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.