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FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE LLC NPI 1760590962


NPI Information

NPI: 1760590962
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: 10D1043066

Address:
1708 CAPE CORAL PKWY W
#10
CAPE CORAL, FL
ZIP 33914
Phone: (239) 541-4633
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FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC is a hematology and oncology internal medicine in Cape Coral, 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 1760590962. 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:

1708 CAPE CORAL PKWY W
#10
CAPE CORAL, FL
ZIP 33914-985
Phone: (239) 541-4633
Fax: (239) 541-1825

The provider's authorized official is Lucio N. Gordan .
The authorized official title is President/managing Partner and has the following contact phone number (352) 332-3900.

The CLIA number assigned to this NPI record is 10D1043066 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/28/2006 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
4207ZH0000XPathologyHematologyNo
5207ZP0102XPathologyAnatomic Pathology & Clinical PathologyNo
62085R0001XRadiologyRadiation OncologyNo
72085R0202XRadiologyDiagnostic RadiologyNo
82085R0203XRadiologyTherapeutic RadiologyNo
9291U00000XClinical Medical LaboratoryNo
10207ZC0006XPathologyClinical PathologyNo

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
12540169-38MEDICAIDFLORIDA
2254016902MEDICAIDFLORIDA
3254016910MEDICAIDFLORIDA
4254016912MEDICAIDFLORIDA
5254016927MEDICAIDFLORIDA
6254016917MEDICAIDFLORIDA
7254016918MEDICAIDFLORIDA
8254016904MEDICAIDFLORIDA
9254016908MEDICAIDFLORIDA
10254016928MEDICAIDFLORIDA
112540169-37MEDICAIDFLORIDA
122540169-42MEDICAIDFLORIDA
13254016903MEDICAIDFLORIDA
14254016906MEDICAIDFLORIDA
15254016919MEDICAIDFLORIDA
16254016922MEDICAIDFLORIDA
17254016932MEDICAIDFLORIDA
182540169-43MEDICAIDFLORIDA
19254016931MEDICAIDFLORIDA
202540169-39MEDICAIDFLORIDA
21254016911MEDICAIDFLORIDA
22254016925MEDICAIDFLORIDA
23254016930MEDICAIDFLORIDA
24254016900MEDICAIDFLORIDA
25254016901MEDICAIDFLORIDA
26254016909MEDICAIDFLORIDA
27254016913MEDICAIDFLORIDA
28254016915MEDICAIDFLORIDA
29254016924MEDICAIDFLORIDA
302540169-35MEDICAIDFLORIDA
312540169-40MEDICAIDFLORIDA
322540169-41MEDICAIDFLORIDA
33254016916MEDICAIDFLORIDA
34254016920MEDICAIDFLORIDA
35254016929MEDICAIDFLORIDA
36254016933MEDICAIDFLORIDA
37254016934MEDICAIDFLORIDA

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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