FLORIDA CANCER AFFILIATES PL NPI 1790054872

NPI Information

  • NPI: 1790054872
  • Provider Name: FLORIDA CANCER AFFILIATES PL
  • Classification: Internal Medicine - 207RH0003X
  • Specialization: Hematology & Oncology
  • Entity Type: Organization
  • CLIA Number: 10D0296614
  • Address: 11373 CORTEZ BLVD
    SUITE 200
    BROOKSVILLE, FL
    ZIP 34613
  • Phone: (352) 597-4998

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NPI Details

FLORIDA CANCER AFFILIATES PL is a hematology and oncology internal medicine in Brooksville, 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 AFFILIATES PL NPI is 1790054872. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11373 CORTEZ BLVD
SUITE 200
BROOKSVILLE, FL
ZIP 34613-414
Phone: (352) 597-4998
Fax: (352) 596-6051

The provider's authorized official is Gerald J. Robbins .
The authorized official title is Practice President and has the following contact phone number (727) 484-7722.

The CLIA number assigned to this NPI record is 10D0296614 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 12/20/2011 and was last updated on 5/17/2013.

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
12085R0001XRadiologyRadiation OncologyNo
2207RH0003XInternal 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
1265199800MEDICAIDFLORIDA
2CA201AMEDICARE PINFLORIDA
3FS826AMEDICARE PINFLORIDA
4004381500MEDICAIDFLORIDA

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: 11/21/2025

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