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NPI Code Detail

MEDICARE: FLORIDA CANCER SPECIALISTS P L

MEDICARE: FLORIDA CANCER SPECIALISTS P L
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1207RH0000XHematology (Internal Medicine) Physician
2207RX0202XMedical Oncology Physician
3207RH0003XHematology & Oncology Physician

Other Identifiers

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

General Provider Information

NPI Number : 1023306107
Entity Type Code : Organization
Provider Name (Legal Business Name) : FLORIDA CANCER SPECIALISTS P L
Provider Business Mailing Address
First Line : 4371 VERONICA S SHOEMAKER BLVD
Second Line : ATTN: CREDENTIALING DEPARTMENT
City : FORT MYERS
State : FL
Zip : 33916-2216
Country : US
Telephone Number : 239-274-8200
Fax Number : 239-278-3350
Provider Business Practice Location Address
First Line : 1400 N US HIGHWAY 441
Second Line : SUITE 552
City : LADY LAKE
State : FL
Zip : 32159-8987
Country : US
Telephone Number : 352-753-9777
Fax Number : 352-753-9781
Authorized Official
Title or Position : PRESIDENT/PARTNER
Name : DR. WILLIAM N HARWIN
Credential : M.D.
Telephone Number : 239-274-8200
Provider Enumeration Date : 07/11/2011
Last Update Date : 12/16/2014

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Directions to “FLORIDA CANCER SPECIALISTS P L ” Practice Location

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