Healthcare Provider Details

I. General information

NPI: 1306135017
Provider Name (Legal Business Name): ONCOLOGY HEMATOLOGY RADIATION CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2011
Last Update Date: 04/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8940 N KENDALL DR STE 603E
MIAMI FL
33176-2148
US

IV. Provider business mailing address

9350 SUNSET DR STE 200
MIAMI FL
33173-3286
US

V. Phone/Fax

Practice location:
  • Phone: 305-274-1662
  • Fax: 305-274-0456
Mailing address:
  • Phone: 786-594-4210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. LEONARD A KALMAN
Title or Position: CHAIRMAN
Credential: MD
Phone: 786-594-4210