10D2113577 CLIA NUMBER - FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC

Laboratory Demographics

CLIA Number: 10D2113577

Facility Name: FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC

Facility Address:
40215 HIGHWAY 27
DAVENPORT, FL
ZIP 33837
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Facility Phone Number: 863 421-9705

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1164881355

Taxonomy: 207RX0202X - Internal Medicine
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.

CLIA Record

Field Name	Field Value
CLIA Number	10D2113577
LAB Type	Physician Office
Facility Name	FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC
Street	40215 HIGHWAY 27
City	DAVENPORT
State	FL
ZIP	33837
Phone	863 421-9705
CertificateType	1
CertificateEffectiveDate	10/5/2022
CertificateExpirationDate	10/4/2024
FacilityType	Accreditation

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