institution
Memorial Southside Cancer Center Llc
Radiation Oncology Clinic/Center in Jacksonville, Florida
NPI 1588724033

Memorial Southside Cancer Center Llc is a Radiation Oncology Clinic/Center based in Jacksonville, FL and is specialized in Oncology, Radiation. Memorial Southside Cancer Center Llc practices in Jacksonville, FL. The NPI Number for Memorial Southside Cancer Center Llc is 1588724033 and holds a License No. APPLYING (Florida).

The current practice location address for Memorial Southside Cancer Center Llc is 5742 Booth Rd, Jacksonville, FL and can be reached out via phone at 904-636-6911 and via fax at 904-636-6330. You can also correspond with Memorial Southside Cancer Center Llc through the mailing address at 5742 BOOTH RD, JACKSONVILLE, FL - 32207 (mailing address contact number: 904-636-6911).

Location: 5742 Booth Rd, Jacksonville, FL, 32207
institution
Provider Profile Details
NPI Number
1588724033
Provider Name
Memorial Southside Cancer Center Llc
Credential
Provider Entity Type
Organization
Address
5742 Booth Rd, Jacksonville, FL, 32207
Phone Number
904-636-6911
Fax Number
904-636-6330
Provider Enumeration Date
12/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DG1361 01 FL RR MEDICARE
00389 01 FL BCBS OF FL
277325200 05 FL
institution
Provider Business Practice Location Address Details
Address
5742 Booth Rd
City
State
Zip
32207
Phone Number
904-636-6911
Fax Number
904-636-6330
person
Provider Business Mailing Address Details
Address
5742 Booth Rd
City
State
Zip
32207
Phone Number
904-636-6911
Fax Number
904-636-6330
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Oncology, Radiation
Taxonomy
License No.
APPLYING (Florida)
Definition
Definition to come...
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