Provider Demographics
NPI:1942496799
Name:RADIATION ONCOLOGY ASSOCIATES OF PALM BEACH, PA
Entity Type:Organization
Organization Name:RADIATION ONCOLOGY ASSOCIATES OF PALM BEACH, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:S
Authorized Official - Last Name:HOROWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:561-347-8001
Mailing Address - Street 1:103 WOODSMUIR CT
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418-8020
Mailing Address - Country:US
Mailing Address - Phone:561-624-1350
Mailing Address - Fax:561-624-1351
Practice Address - Street 1:3651 FAU BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-6489
Practice Address - Country:US
Practice Address - Phone:561-347-8001
Practice Address - Fax:561-347-8015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-14
Last Update Date:2007-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS51522085R0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0203XAllopathic & Osteopathic PhysiciansRadiologyTherapeutic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK3514Medicare PIN