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FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE LLC NPI 1376078634


NPI Information

NPI: 1376078634
Provider Name: FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC

Former Legal Business Name: FLORIDA CANCER SPECIALISTS P L

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

CLIA Number: 10D2131342

Address:
4689 US HIGHWAY 17
SUITES 2-5
FLEMING ISLAND, FL
ZIP 32003
Phone: (904) 269-6526
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FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC is a hematology and oncology internal medicine in Fleming Island, 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 1376078634. 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:

4689 US HIGHWAY 17
SUITES 2-5
FLEMING ISLAND, FL
ZIP 32003-831
Phone: (904) 269-6526
Fax: (904) 269-6527

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 10D2131342 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 4/25/2017 and was last updated on 2/4/2019.


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
2207RH0003XInternal MedicineHematology & OncologyYes
3207RX0202XInternal MedicineMedical OncologyNo

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: 11/14/2023

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