Healthcare Provider Details
I. General information
NPI: 1740201912
Provider Name (Legal Business Name): NORTH FLORIDA RADIATION ONCOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/22/2006
Last Update Date: 02/18/2025
Certification Date: 02/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6420 W NEWBERRY RD
GAINESVILLE FL
32605-6621
US
IV. Provider business mailing address
6420 W NEWBERRY RD
GAINESVILLE FL
32605-6621
US
V. Phone/Fax
- Phone: 352-333-5840
- Fax: 352-333-5841
- Phone: 352-333-5840
- Fax: 352-333-5841
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0001X |
| Taxonomy | Radiation Oncology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LINDA
TURNER
Title or Position: DIRECTOR
Credential:
Phone: 352-333-5850