Healthcare Provider Details

I. General information

NPI: 1942496799
Provider Name (Legal Business Name): RADIATION ONCOLOGY ASSOCIATES OF PALM BEACH, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2007
Last Update Date: 09/14/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3651 FAU BLVD SUITE 100
BOCA RATON FL
33431-6489
US

IV. Provider business mailing address

103 WOODSMUIR CT
PALM BEACH GARDENS FL
33418-8020
US

V. Phone/Fax

Practice location:
  • Phone: 561-347-8001
  • Fax: 561-347-8015
Mailing address:
  • Phone: 561-624-1350
  • Fax: 561-624-1351

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0203X
TaxonomyTherapeutic Radiology Physician
License NumberOS5152
License Number StateFL

VIII. Authorized Official

Name: DR. BRUCE S HOROWITZ
Title or Position: MEDICAL DIRECTOR
Credential: DO
Phone: 561-347-8001