MEDICARE: CANCER CENTER OF SOUTH FLORIDA PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician

General Provider Information

NPI Number	:	1023879053
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CANCER CENTER OF SOUTH FLORIDA PLLC

Provider Business Mailing Address
First Line	:	PO BOX 160748
Second Line	:
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32716-0748
Country	:	US
Telephone Number	:	561-253-3980
Fax Number	:

Provider Business Practice Location Address
First Line	:	4620 PGA BLVD STE 101
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-3991
Country	:	US
Telephone Number	:	561-253-3980
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ABRAHAM B SCHWARZBERG
Credential	:	MD
Telephone Number	:	561-253-3980

Provider Enumeration Date	:	01/17/2024
Last Update Date	:	06/30/2024

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