Provider Demographics
NPI:1871541037
Name:BRRH ONCOLOGY LLC
Entity type:Organization
Organization Name:BRRH ONCOLOGY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LINCOLN
Authorized Official - Middle Name:
Authorized Official - Last Name:MENDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-955-3032
Mailing Address - Street 1:PO BOX 71200
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28272-1200
Mailing Address - Country:US
Mailing Address - Phone:561-495-8307
Mailing Address - Fax:
Practice Address - Street 1:701 NORTHWEST 13TH STREET
Practice Address - Street 2:2ND FLOOR
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486
Practice Address - Country:US
Practice Address - Phone:561-955-6400
Practice Address - Fax:561-955-2730
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BOCA RATON REGIONAL HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-04
Last Update Date:2022-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical OncologyGroup - Multi-Specialty