MEDICARE: AMERICAN ONCOLOGY PARTNERS, P.A.

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

General Provider Information

NPI Number	:	1407407521
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN ONCOLOGY PARTNERS, P.A.

Provider Business Mailing Address
First Line	:	9160 FORUM CORPORATE PKWY STE 350
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33905-7808
Country	:	US
Telephone Number	:	239-785-3200
Fax Number	:

Provider Business Practice Location Address
First Line	:	420 MCPHEE RD SW
Second Line	:
City	:	OLYMPIA
State	:	WA
Zip	:	98502-4070
Country	:	US
Telephone Number	:	360-352-9200
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	LUCIO NAVARRO GORDAN
Credential	:	MD
Telephone Number	:	239-274-8200

Provider Enumeration Date	:	09/20/2019
Last Update Date	:	09/20/2019

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