Provider Demographics
NPI:1942575196
Name:OKEECHOBEE REGIONAL CANCER CENTER INC
Entity Type:Organization
Organization Name:OKEECHOBEE REGIONAL CANCER CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:HARLAN
Authorized Official - Last Name:WOODY
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:772-971-3619
Mailing Address - Street 1:301 NE 19TH DR
Mailing Address - Street 2:
Mailing Address - City:OKEECHOBEE
Mailing Address - State:FL
Mailing Address - Zip Code:34972-1911
Mailing Address - Country:US
Mailing Address - Phone:863-357-0039
Mailing Address - Fax:863-357-4539
Practice Address - Street 1:301 NE 19TH DR
Practice Address - Street 2:
Practice Address - City:OKEECHOBEE
Practice Address - State:FL
Practice Address - Zip Code:34972-1911
Practice Address - Country:US
Practice Address - Phone:863-357-0039
Practice Address - Fax:863-357-4539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-20
Last Update Date:2013-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0203XAmbulatory Health Care FacilitiesClinic/CenterOncology, Radiation