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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MEMORIAL SOUTHSIDE CANCER CENTER LLC

Active Organization

Radiation Oncology Clinic · JACKSONVILLE, FL

Registration Details

NPI Number
1588724033
Provider Type
Organization
NPI Issued
Dec 12, 2006 (19.360773534097 yrs)
Last Updated
Jan 27, 2010
License
APPLYING (FL)

Practice Information

Address
5742 BOOTH RD
SUITE B
JACKSONVILLE, FL, 32207
Browse FL providers · Browse ZIP 32207
Phone
9046366911
Fax
9046366330
Primary Specialty
Radiation Oncology Clinic
261QX0203X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.