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FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE LLC NPI 1063054153


NPI Information

NPI: 1063054153
Provider Name: FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

CLIA Number: 10D1078858

Address:
6310 HEALTH PARK WAY STE 200
LAKEWOOD RANCH, FL
ZIP 34202
Phone: (941) 907-4737
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FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC is a hematology and oncology internal medicine in Lakewood Ranch, FL. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC NPI is 1063054153. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6310 HEALTH PARK WAY STE 200
LAKEWOOD RANCH, FL
ZIP 34202-177
Phone: (941) 907-4737
Fax: (941) 907-9493

The provider's authorized official is Lucio Navarro Gordan .
The authorized official title is Managing Partner and has the following contact phone number (239) 274-8200.

The CLIA number assigned to this NPI record is 10D1078858 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/10/2019 and was last updated on 12/27/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RH0000XInternal MedicineHematologyNo
2207RX0202XInternal MedicineMedical OncologyNo
32085R0202XRadiologyDiagnostic RadiologyNo
42085R0203XRadiologyTherapeutic RadiologyNo
5207RH0003XInternal MedicineHematology & OncologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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