MEDICARE: FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207RH0000X	Hematology (Internal Medicine) Physician
2	207RX0202X	Medical Oncology Physician
3	207RH0003X	Hematology & Oncology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245675875
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC

Provider Business Mailing Address
First Line	:	PO BOX 102222
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30368-2222
Country	:	US
Telephone Number	:	239-274-8200
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 MEMORIAL MEDICAL PKWY STE 200
Second Line	:
City	:	PALM COAST
State	:	FL
Zip	:	32164-5979
Country	:	US
Telephone Number	:	386-586-2889
Fax Number	:	386-586-2890

Authorized Official
Title or Position	:	PRESIDENT / MANAGING PARTNER
Name	:	DR. LUCIO NAVARRO GORDAN
Credential	:
Telephone Number	:	239-274-8200

Provider Enumeration Date	:	05/09/2013
Last Update Date	:	02/14/2025

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Directions to “FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC ” Practice Location

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