Healthcare Provider Details

I. General information

NPI: 1932072261
Provider Name (Legal Business Name): CANCER HEALTHCARE ASSOCIATES, P.L.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2025
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3700 WASHINGTON ST STE 302
HOLLYWOOD FL
33021-8249
US

IV. Provider business mailing address

9165 PARK DR
MIAMI SHORES FL
33138-3163
US

V. Phone/Fax

Practice location:
  • Phone: 954-987-5600
  • Fax: 954-967-9886
Mailing address:
  • Phone: 305-545-6685
  • Fax: 305-545-6687

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number State

VIII. Authorized Official

Name: VICTORIA BALABOUS
Title or Position: VP OF OPERATIONS
Credential: MBA
Phone: 954-987-5600