Healthcare Provider Details

I. General information

NPI: 1417629759
Provider Name (Legal Business Name): CANCER CENTER OF SOUTH FLORIDA PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2021
Last Update Date: 06/30/2024
Certification Date: 06/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11621 KEW GARDENS AVE STE 101A
PALM BEACH GARDENS FL
33410-2853
US

IV. Provider business mailing address

PO BOX 160748
ALTAMONTE SPRINGS FL
32716-0748
US

V. Phone/Fax

Practice location:
  • Phone: 561-253-3980
  • Fax: 561-253-3985
Mailing address:
  • Phone: 561-253-3980
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QX0200X
TaxonomyOncology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ABRAHAM B SCHWARZBERG
Title or Position: CEO
Credential: MD
Phone: 561-253-3980