Provider Demographics
NPI:1710038872
Name:RADIATION ONCOLOGY CONSULTANTS PA
Entity Type:Organization
Organization Name:RADIATION ONCOLOGY CONSULTANTS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:GERARD
Authorized Official - Last Name:LESTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-321-3040
Mailing Address - Street 1:2200 W 1ST ST
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32771-1674
Mailing Address - Country:US
Mailing Address - Phone:407-321-3040
Mailing Address - Fax:407-321-3041
Practice Address - Street 1:2200 W 1ST ST
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771-1674
Practice Address - Country:US
Practice Address - Phone:407-321-3040
Practice Address - Fax:407-321-3041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL33000AMedicare ID - Type UnspecifiedMEDICARE GROUP ID NUMBER
FLCA2283Medicare PIN