1588724033 MEMORIAL SOUTHSIDE CANCER CENTER LLC
Radiation Oncology Clinic/Center
Active
Basic Information
- Organization Name
- MEMORIAL SOUTHSIDE CANCER CENTER LLC
- Enumeration Date
- December 12, 2006
- Last Update
- January 27, 2010
- Authorized Official
- MR. LAVELLE HARDIN
CREDENTIALING COORDINATOR
Phone: (615) 344-8203
Practice Location
- Address
- 5742 BOOTH RD
SUITE B
JACKSONVILLE, FL 32207 - Phone
- (904) 636-6911
- Fax
- (904) 636-6330
Mailing Address
- Address
- 5742 BOOTH RD
SUITE B
JACKSONVILLE, FL 32207 - Phone
- (904) 636-6911
- Fax
- (904) 636-6330
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Radiation Oncology Clinic/Center Oncology, Radiation | 261QX0203X | Clinic/Center | APPLYING | FL | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DG1361 | 01 | FL | RR MEDICARE |
| 00389 | 01 | FL | BCBS OF FL |
| 277325200 | 05 | FL | N/A |
Frequently Asked Questions
What is MEMORIAL SOUTHSIDE CANCER CENTER LLC's NPI number?
MEMORIAL SOUTHSIDE CANCER CENTER LLC's NPI number is 1588724033.
Which doctor has NPI number 1588724033?
The doctor with NPI number 1588724033 is MEMORIAL SOUTHSIDE CANCER CENTER LLC.
What is MEMORIAL SOUTHSIDE CANCER CENTER LLC's practice address?
MEMORIAL SOUTHSIDE CANCER CENTER LLC's practice address is 5742 BOOTH RD, SUITE B, JACKSONVILLE, FL, 32207.
Which doctor practices at 5742 BOOTH RD, SUITE B, JACKSONVILLE, FL, 32207?
MEMORIAL SOUTHSIDE CANCER CENTER LLC practices at 5742 BOOTH RD, SUITE B, JACKSONVILLE, FL, 32207.
What is MEMORIAL SOUTHSIDE CANCER CENTER LLC's phone number?
MEMORIAL SOUTHSIDE CANCER CENTER LLC's phone number is (904) 636-6911.
Who is (904) 636-6911?
(904) 636-6911 is the phone number for MEMORIAL SOUTHSIDE CANCER CENTER LLC.
What is MEMORIAL SOUTHSIDE CANCER CENTER LLC's specialty?
MEMORIAL SOUTHSIDE CANCER CENTER LLC's specialty is Radiation Oncology Clinic/Center.
What type of doctor is MEMORIAL SOUTHSIDE CANCER CENTER LLC?
MEMORIAL SOUTHSIDE CANCER CENTER LLC is a Radiation Oncology Clinic/Center.
Is MEMORIAL SOUTHSIDE CANCER CENTER LLC a Oncology, Radiation?
Yes, MEMORIAL SOUTHSIDE CANCER CENTER LLC is a Oncology, Radiation.
Is MEMORIAL SOUTHSIDE CANCER CENTER LLC still practicing?
Yes, MEMORIAL SOUTHSIDE CANCER CENTER LLC is currently practicing.
Is MEMORIAL SOUTHSIDE CANCER CENTER LLC accepting new patients?
MEMORIAL SOUTHSIDE CANCER CENTER LLC may be accepting new patients. Please call their office at (904) 636-6911 to inquire about availability.
Is NPI 1588724033 still active?
Yes, NPI 1588724033 is currently active.
Where does MEMORIAL SOUTHSIDE CANCER CENTER LLC practice?
MEMORIAL SOUTHSIDE CANCER CENTER LLC practices in JACKSONVILLE, FL.