Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Innovative Cancer Institute LLC

Organization Radiation Oncology Physician · NPI 1558029041

Innovative Cancer Institute LLC provides Radiation Oncology Physician services in Hialeah, Florida. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

96 W 21st St
Hialeah, FL 33010-2614
Phone: (305) 669-6833
Fax: (305) 666-4030
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiation Oncology Physician (primary) Taxonomy 2085R0001X

Record details

NPI number1558029041
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Milan — Office Manager · (305) 669-6833
NPI enumeratedDecember 2, 2021
Last updated in NPPESDecember 2, 2021
Certification dateDecember 2, 2021
Mailing address5995 Sw 71st St Ste 1-B, South Miami, FL 33143-3531

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