Healthcare Provider Details

I. General information

NPI: 1902195589
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

8900 N KENDALL DR RADIATION THERAPY DEPARTMENT
MIAMI FL
33176-2118
US

IV. Provider business mailing address

9350 SUNSET DR STE 200
MIAMI FL
33173-3286
US

V. Phone/Fax

Practice location:
  • Phone: 786-596-6566
  • Fax: 786-596-3629
Mailing address:
  • Phone: 786-594-4210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State

VIII. Authorized Official

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