| NPI | 1043325079 |
|---|---|
| Doing Business As | FLORIDA CANCER SPECIALISTS COUNTRYSIDE |
| Entity Type | Organization |
| Authorized Contact | DAWN FULKERSON Director Of Pharmacy Services 239-274-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: FL ME73531) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2008-12-05 |