10D0290335 CLIA NUMBER - FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE LLC

Laboratory Demographics

CLIA Number: 10D0290335

Facility Name: FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE LLC

Facility Address:
2111 W SWANN AVE STE 102
TAMPA, FL
ZIP 33606
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Facility Phone Number: 813 254-7227

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1962780593

Taxonomy: 207RH0003X - Internal Medicine
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.

CLIA Record

Field Name	Field Value
CLIA Number	10D0290335
LAB Type	Physician Office
Facility Name	FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE LLC
Street	2111 W SWANN AVE STE 102
City	TAMPA
State	FL
ZIP	33606
Phone	813 254-7227
CertificateType	1
CertificateEffectiveDate	12/23/2023
CertificateExpirationDate	12/22/2025
FacilityType	Accreditation

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This page was last updated on: 4/23/2024