MEDICARE: RADIATION ONCOLOGY ASSOCIATES

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	2085R0001X	Radiation Oncology Physician	ME71315	FL

General Provider Information

NPI Number	:	1720026859
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RADIATION ONCOLOGY ASSOCIATES

Provider Business Mailing Address
First Line	:	10335 N MILITARY TRL
Second Line	:	SUITE C
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33410-4634
Country	:	US
Telephone Number	:	561-635-0733
Fax Number	:	561-296-1501

Provider Business Practice Location Address
First Line	:	10335 N MILITARY TRL
Second Line	:	SUITE C
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33410-4634
Country	:	US
Telephone Number	:	561-635-0733
Fax Number	:	561-296-1501

Authorized Official
Title or Position	:	OWNER
Name	:	ANNE M LEWIS
Credential	:	M.D.
Telephone Number	:	561-635-0733

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	07/21/2022

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