Healthcare Provider Details

I. General information

NPI: 1700780004
Provider Name (Legal Business Name): FLORIDA PROTON SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
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: 561-323-6498
  • Fax: 561-323-6502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: ANDREW BARBOSA
Title or Position: CENTER ADMINISTRATOR
Credential:
Phone: 413-219-3986