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FLORIDA CANCER SPECIALISTS P L NPI 1265833198


NPI Information

NPI: 1265833198
Provider Name: FLORIDA CANCER SPECIALISTS P L
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

CLIA Number: 10D1018863

Address:
345 CLYDE MORRIS BLVD
SUITE 490
ORMOND BEACH, FL
ZIP 32174
Phone: (386) 672-3933
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FLORIDA CANCER SPECIALISTS P L is a hematology and oncology internal medicine in Ormond Beach, 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 P L NPI is 1265833198. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

345 CLYDE MORRIS BLVD
SUITE 490
ORMOND BEACH, FL
ZIP 32174-111
Phone: (386) 672-3933
Fax: (386) 672-3911

The provider's authorized official is William N. Harwin .
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 10D1018863 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 9/10/2014 and was last updated on 5/23/2016.


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
3207RH0003XInternal MedicineHematology & 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12540169-92MEDICAIDFLORIDA
221682EMEDICARE PINFLORIDA
31310760062MEDICARE NSCFLORIDA

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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