Healthcare Provider Details

I. General information

NPI: 1598602310
Provider Name (Legal Business Name): DELRAY PROTONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5280 LINTON BLVD
DELRAY BEACH FL
33484-6516
US

IV. Provider business mailing address

5280 LINTON BLVD
DELRAY BEACH FL
33484-6516
US

V. Phone/Fax

Practice location:
  • Phone: 561-323-6498
  • Fax: 561-323-6502
Mailing address:
  • Phone: 630-649-4060
  • Fax: 312-896-9537

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2471R0002X
TaxonomyRadiation Therapy Radiologic Technologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QX0203X
TaxonomyRadiation Oncology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHARLES YOO
Title or Position: VP OF OPERATIONS & FIANCE
Credential:
Phone: 630-649-4060