Organization Name: | CCCNF - LAKE BUTLER, LLC |
NPI Number: | 1043671241 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STUART M. BITTING (EVP) |
Mailing Address: | 7765 S County Road 231 Lake Butler |
State: | FL US |
Postal Code: | 320545721 |
Phone Number: | 3864960900 |
Fax Number: | 3864960777 |
NPI Enumeration Date: | 03/15/2016 |
NPI Last Update Date: | 03/15/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0001X |
License Number: | JR45707000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Radiation Oncology |
Taxonomy 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. |