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NPI Code Detail

MEDICARE: AMERICAN ONCOLOGY PARTNERS, P.A.

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

General Provider Information

NPI Number : 1528629649
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 : 41201 SCHADDEN RD STE 2
Second Line :
City : ELYRIA
State : OH
Zip : 44035-2249
Country : US
Telephone Number : 440-324-0401
Fax Number : 440-324-0405
Authorized Official
Title or Position : PRESIDENT/MANAGING PARTNER
Name : DR. LUCIO NAVARRO GORDAN
Credential : MD
Telephone Number : 239-274-8200
Provider Enumeration Date : 06/28/2019
Last Update Date : 06/28/2019

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