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FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE LLC NPI 1699158287


NPI Information

NPI: 1699158287
Provider Name: FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC

Former Legal Business Name: FLORIDA CANCER SPECIALISTS P L

Classification: Internal Medicine - 207RX0202X
Entity Type: Organization

Specialization: Medical Oncology

CLIA Number: 10D2290685

Address:
460 N ORLANDO AVE
SUITE 200 BUILDING D
ORLANDO, FL
ZIP 32789
Phone: (407) 898-5452
Get Directions

FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC is a medical oncology internal medicine in Orlando, FL. The provider is an internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC NPI is 1699158287. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Florida Cancer Specialists P L.

The provider's business location address is:

460 N ORLANDO AVE
SUITE 200 BUILDING D
ORLANDO, FL
ZIP 32789
Phone: (407) 898-5452
Fax: (844) 722-1185

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

The CLIA number assigned to this NPI record is 10D2290685 - other - nuclear medicine hotlab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/1/2015 and was last updated on 8/18/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RH0000XInternal MedicineHematologyNo
2207RX0202XInternal MedicineMedical OncologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10149267-04MEDICAIDFLORIDA

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: 4/28/2024

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