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Cccnf - Lake Butler, Llc
Radiation Oncology Physician in Lake Butler, Florida
NPI 1043671241

Cccnf - Lake Butler, Llc is a Radiation Oncology Physician based in Nashville, FL and is specialized in Radiation Oncology. Cccnf - Lake Butler, Llc practices in Lake Butler, FL. The NPI Number for Cccnf - Lake Butler, Llc is 1043671241 and holds a License No. JR45707000 (Florida).

The current practice location address for Cccnf - Lake Butler, Llc is 7765 S County Road 231, Lake Butler, FL and can be reached out via phone at 386-496-0900 and via fax at 386-496-0777.

Location: 7765 S County Road 231, Lake Butler, FL, 37205-2245
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043671241
Provider Name
Cccnf - Lake Butler, Llc
Credential
Provider Entity Type
Organization
Address
7765 S County Road 231, Lake Butler, FL, 37205-2245
Phone Number
386-496-0900
Fax Number
386-496-0777
Provider Enumeration Date
03/15/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RAM LICENSE 4226-1 01 FL RADIOACTIVE MATERIAL LICENSE
institution
Provider Business Practice Location Address Details
Address
7765 S County Road 231
City
Lake Butler
State
Florida
Zip
32054-5721
Phone Number
386-496-0900
Fax Number
386-496-0777
person
Provider Business Mailing Address Details
Address
7765 S County Road 231
City
Lake Butler
State
Florida
Zip
32054-5721
Phone Number
386-496-0900
Fax Number
386-496-0777
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
JR45707000 (Florida)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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