Provider Demographics
NPI:1053386276
Name:CANCER HEALTHCARE ASSOCIATES, P.L.
Entity type:Organization
Organization Name:CANCER HEALTHCARE ASSOCIATES, P.L.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KEISCH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-545-6685
Mailing Address - Street 1:9165 PARK DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI SHORES
Mailing Address - State:FL
Mailing Address - Zip Code:33138-3163
Mailing Address - Country:US
Mailing Address - Phone:305-545-6685
Mailing Address - Fax:305-545-6687
Practice Address - Street 1:9165 PARK DR
Practice Address - Street 2:
Practice Address - City:MIAMI SHORES
Practice Address - State:FL
Practice Address - Zip Code:33138-3163
Practice Address - Country:US
Practice Address - Phone:305-545-6685
Practice Address - Fax:305-545-6687
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-21
Last Update Date:2019-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Multi-Specialty
No208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Multi-Specialty
No2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical OncologyGroup - Multi-Specialty