MEDICARE: VERTHERMIA CORPORATION

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	207RX0202X	Medical Oncology Physician

General Provider Information

NPI Number	:	1922846617
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VERTHERMIA CORPORATION

Provider Business Mailing Address
First Line	:	1466 HIPPOCRATES WAY
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33411-3400
Country	:	US
Telephone Number	:	630-832-6919
Fax Number	:	630-832-1512

Provider Business Practice Location Address
First Line	:	8111 MEADOW RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-3514
Country	:	US
Telephone Number	:	630-832-6919
Fax Number	:	630-832-1512

Authorized Official
Title or Position	:	ADMINISTRATION
Name	:	MISS JESSICA L DATTILO
Credential	:
Telephone Number	:	630-832-6919

Provider Enumeration Date	:	07/17/2024
Last Update Date	:	08/05/2024

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Directions to “VERTHERMIA CORPORATION ” Practice Location

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