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FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE LLC NPI 1457795304


NPI Information

NPI: 1457795304
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

Address:
9320 STATE ROAD 54
TRINITY, FL
ZIP 34655
Phone: (727) 493-2513
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FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC is a medical oncology internal medicine in Trinity, 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 1457795304. 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:

9320 STATE ROAD 54
TRINITY, FL
ZIP 34655-808
Phone: (727) 493-2513
Fax: (727) 917-2336

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 enumeration date for this NPI number is 4/23/2013 and was last updated on 9/29/2021.


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
12085R0001XRadiologyRadiation OncologyNo
2207RH0000XInternal MedicineHematologyNo
3207RH0003XInternal MedicineHematology & OncologyNo
4207VX0201XObstetrics & GynecologyGynecologic OncologyNo
5207RX0202XInternal 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
1254016982MEDICAIDFLORIDA

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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